Gender dysphoria may be caused by having an abnormal androgen receptorgene which reduces the action of testosterone
Evidence from twin studies suggests that GD may have a genetic basis
Gunter heylens
Published a meta analysis of twins where at least one twin had GD. They found 39%concordance of the MZ (identical twins)
Suggests there may be a genetic element
Twin studies assume that identical twins are treated equally similarly and that only genetic factors account for the ways DZ twins are less alike than MZ twins
MZ twins have very similar experiences - brought up the same way so might not be entirely genetic
GD is so rare and the sample sizes are small which means that it cannot be generalised