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Notes -
Yes.
I regard this as far too narrow a sense of "sexual gratification." The archetypal case for autogynephilia is something like "imagining yourself as a woman helps you achieve orgasm." But then stuff like penectomies or even HRT are known to make orgasm more difficult, or even impossible, to achieve, so you might expect autogynephiles to avoid those things, given that "achieve orgasm" was the whole point of the exercise. But there are other forms of "sexual gratification" than just orgasm; there is for example sexual gratification in simply being perceived as sexually desirable. For someone who is for whatever reason averse to sex, or indifferent to it, not being perceived as an object of sexual desire is a strictly sexual form of gratification.
All forms of sexuality, a-, trans-, homo-, hetero-, or otherwise, are by definition sexual in nature, and gratification does not refer exclusively to orgasm or even to specifically coital pleasure, but to gratification that is sexual in nature. If we accept the (questionable) move of separating them from "gender" and making that word refer only and exclusively to the sociological phenomena that supervene on sex, those phenomena still supervene on sex. Many 20th century feminists understood this, which is why they advocated for the abolition of gender distinctions, rather than merely the decoupling of gender from sex. By reifying traditional gender norms through dubious metaphysical claims about one's "real" gender, today's trans advocacy routinely operates directly against its own intellectual foundations.
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