It is understandable to be curious about what causes different gender identifications. While it is unclear what causes autogynephilia and other gender identities, it is important to respect that people have a right to express their gender in whatever way makes them most comfortable. 

It is also important to note that regardless of the potential causes of gender identity, all gender identities should be respected and included, no matter what. Gender should never be used as a way to assign value or put down individuals, and we should all strive to create a world in which every person feels accepted and respected, regardless of their gender identity or expression.