>if he had gender dysmorphia, and felt like he
>was a woman the whole time, it seems like he would have done
>this long ago instead of continually getting married and
>having kids over and over for the last 40 years.

what's your basis for saying this?

b/c it's fairly common for transmen and women to live a complete adult life in disguise as a cisperson only to come out as trans late in life after having married and raised kids. why? b/c the trans revolution is in its infancy. their movement is moving s-l-o-w-l-y. most of them are still closeted. most don't know that the issues with which they struggled have been figured out by medical science, including psychiatry. and s-l-o-w-l-y our society is being pushed toward acceptance/understanding of trans issues. but this is all new.