(Modified) Harry Benjamin Scale: Male to Female

Ponder
"Scores"
Class 1

(Definite Male)
Extremely Male

Class 1

(Mainly Male)
Predominantly Male

Class 2

(Feminine Male) 
Feminine Male

Class 3

(Androgyny)
Androgynous

Class 4

(Probable Transsexual)
Female

Class 5

(Classic Transsexual)
Extremely Female

PROFILE TYPE I

Pseudo

TYPE II

Transvestite
Fetishistic

TYPE III

Transvestite
True

TYPE IV

Transsexual
Non-Surgical

TYPE V

True Transsexual
Moderate Intensity

TYPE VI

True Transsexual
High Intensity

Gender
"Feeling"
Masculine. Masculine. Masculine (but with less conviction). Uncertain. Wavering between TV and TS. Feminine "Trapped in a male body" Syndrome. Feminine. Total "psychosexual" inversion.
Crossdressing Habits and Social Life Normal male life. May get a "kick" from occasional "Crossdressing". Not truly a TV. Lives as a man. "Crossdresses" periodically or part-time. Crossdresses under male clothes. "Crossdresses" constantly or as often as possible. May live and be accepted as woman. May Crossdress under his male attire  "Crossdresses" as often as possible with insufficient relief of gender discomfort. May live as man or woman. Lives and works as woman if possible. Insufficient relief from "Crossdressing". May live and work as woman. Insufficient relief from "Crossdressing". Gender discomfort intense.
Sex object choice and sexlife Hetero-, bisexual, or homosexual. "Crossdressing" and "sex change" mainly in masturbation fantasy. Heterosexual. Rarely bisexual. Masturbation with fetish "item(s)". Feels guilty. "Purges" and relapses. Heterosexual except when dressed. Crossdressing gives sexual satisfaction, relief of gender discomfort. May purge, relapse. Libido low. Asexual or Autoerotic. Could be bisexual. Low libido. Asexual, autoerotic, or passively homosexual activity. May be, or have been married and/or may have children. Intensively desires relations with normal male as "female" when young; later libido low. May be, or have been married and have children.
SRS (sex change)
operation
Not considered in reality. Rejected. Rejected but finds idea interesting. Attractive but not actively requested. Sought / Requested. Urgently requested and usually attained.
Female Hormone
medication
Not interested. Not indicated. Rarely interested. May help to reduce libido. Attractive as an "experiment." Can be helpful. Needed for comfort and to balance emotions. Needed as substitute or preliminary to operation. Required for partial relief.
Psychotherapy Not wanted. Unnecessary. May be successful in favourable environment. If attempted, not usually successful as to cure. Only as guidance; otherwise refused or unsuccessful. Rejected. Useless as to cure. Permissive psychological guidance. Psychological guidance or psychotherapy for symptomatic relief only.
Remarks Only sporadic interest in "Crossdressing". May imitate male and female double personality with male and female names. May assume a double personality. Trend toward Transsexualism. Social life dependent on circumstances. Operation hoped for and worked for, often attained. Despises his male organs; danger of suicide or self-mutilation if too long frustrated.