Howdy,
I'm never sure whether or not to call myself a sissy, since I'd say I'm more attracted to the idea of being treated as a sissy by force or for punishment, rather than actually having a LG persona. However, I'm interested enough in the sissy-sphere to follow a ton of blogs, tumblrs, etc. And I find myself feeling uneasy about the blurred line between men with sissy desires, and actual, bonafide trans women.
For instance, I often read about sissies seeking hormone therapy. Isn't that abuse of the medical system? Lying about being transgender to get HRT seems just as dishonest as lying about being incontinent to a doctor.