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Historically, the "transsexualism" diagnosis is a subset of "gender identity disorder". Up until the ICD-10, "transsexualism" (F64.0) is the only subset of GID that is recognized as deserving of gender affirming care. That's what i was referring to when i said the term was used to exclude certain trans people, it's not just about gatekeeping them from trans communities, but putting up arbitrary boundaries to deny gender affirming care to as many trans people as possible. Neither of these diagnoses are in the ICD-11, which goes with "gender incongruence". And that term exclusively refers to dysphoria, not to being trans in itself.
Good god the medical system is awful about trans stuff, isn't it? Absolute nightmare of a system, when it would be so easy to just give hormones to people who are like, hey, my life is better with hormones.
I didn't actually realize that was the history of these terms, thanks for explaining. I guess "gender incongruence" is better, at least it's not saying the person experiencing it is disordered. Still though, especially this far into transition, I don't actually feel any "incongruence". I'd be miserable if I had to stop taking testosterone, but having experienced that feeling, I wouldn't describe it as gender incongruence, or, frankly, even having anything whatsoever to do with gender! My body just runs better with a testosterone-dominant endocrine system.
Ah well, the medical system is what it is, and despite the fact that the terminology used for us fucking sucks, there's not really a better option right now.