Not all transgender people have Genital Dysphoria, which seems to be what you’re getting at.
And I mean if there was treatment for it (other than surgery) would you even want to take it?
There are many treatments for Gender Dysphoria. A whole lot of people take hormones. A lot of people don’t. I think it’s both physical and mental as it’s your brain fundamentally disagreeing with how your body is.
I won’t even get into how awful your other topic is.