2. use of fetishes as a preferred or necessary adjunct to sexual arousal.
transvestic fetishism a paraphilia of heterosexual males, characterized by recurrent, intense sexual urges, arousal, or orgasm associated with fantasized or actual cross-dressing, to the extent that this causes significant distress or impairment in the person's life. Called also transvestism.
Sexuoeroticism that hinges on dressing or masquerading in the clothes, especially underwear, of the opposite sex; it is far more common in men than in women. Cross-dressing with extreme gender dysphoria—persistent discomfort with one's present gender role or identity—may lead to sexual reassignment
A paraphilia of cross-dressing; clinical question is whether the TF is accompanied by gender dysphoria–persistent discomfort with present gender role or identity, which if extreme may eventuate in sexual reassignment. See Sexual reassignment.