No, in the cases I mentioned the pain plays no role; SSRI help, and SSRI have no painkilling ability. This is something else.
Also, Natalie of Sincerely Natalie Reed has had a hell of a month. She has been misgendered and mocked at McDonald's (and had to stand there and just take it), and then some [redacted] trans women heaped further abuse on her by mail. I don't know the details, but it was a lot about how she looked and ****. Please, go to her blog and show your support - she needs it right now.