Psychiatric conditions can commonly accompany or present similar to gender incongruence and gender dysphoria. He states that anatomic autogynephilia is more associated with gender dysphoria than transvestic autogynephilia. Other individuals, however, experience dysphoria and often report feelings of malaise or anxiety. Advantages and disadvantages exist to classifying gender dysphoria as a disorder. Psychological distress or dysphoria may occur. The DSM-5 included a change from using gender identity disorder to gender dysphoria. Some transsexual people may suffer from co-morbid psychiatric conditions unrelated to their gender dysphoria. Early-onset gender dysphoria is behaviorally visible in childhood. People with gender dysphoria are typically transgender. It is used to treat male hypogonadism, gender dysphoria, and certain types of breast cancer. However at higher doses, it produces more sedation, drunkenness, dysphoria, and dissociation. Gender nonconformity is not the same thing as gender dysphoria. These cases often involve significant gender dysphoria. In the past, transgender youth faced many hardships in obtaining medical treatment for gender dysphoria. Treatment for gender dysphoria may involve supporting the person through changes in gender expression.