What this means is that the Combined Gender Identity And Transsexuality Inventory has classified your internal gender identity to be essentially feminine, but with some masculine or androgynous traits. It is very possible that you are a candidate for a diagnosis of transsexualism. You show a strong degree of gender dysphoria. At the very least, further investigation should be undertaken. Your COGIATI score places you among the majority of those diagnosed as transsexuals, the 'late onset' transsexual.
 

SUGGESTIONS FOR ACTION:

Your situation is potentially serious and indicative of a probable inborn gender conflict. It is definitely recommended that you pursue further action.

 The suggestions for your circumstance are several.

1. It is recommended that you seek help from a sympathetic counselor or professional about your gender issues. It is very possible that over time they will become increasingly difficult to cope with. Early determination of what you really need and want is vital. You need to determine if you truly are transsexual. Keep in mind, thought, that many alternatives exist other than complete sexual transformation. Partial transformation and many other way of existing are available. While you are very possibly a transsexual, COGIATI has determined that this is not absolutely certain. While time is an issue, being certain is more important. Proceed with investigation of your possible transsexuality or transgenderism, but with caution. 

2. Some actions may help you to define your needs more clearly. Experimenting with living full time as a woman, taking hormones for a short time under supervision, or taking testosterone suppressers to observe how you feel are all viable options. Keep in mind that while it is very likely that you might be a transsexual, it is not certain. Do not take severe or permanent actions without long thought and the help of counselors and professionals. 

3. Your gender issues are real, and should not be ignored. Neither should you rush into acting on them, however powerful they may feel. You do not fit the full criterion for the rarest classification, classic transsexuality, and so should be cautious, and open to possibilities. You may yet end up undergoing transition, and the path of the transsexual may well be your salvation. Be very careful, but do not ignore your issues. 

4. If you have not already, consider joining any of the thousands of groups devoted to gender expression of various kinds. There is literally a world of friends to discover who share your interests. There are also publications, vacations, and activities that would expand your gender expression.