What is the difference between transsexual and transgender?

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    A young woman tricked into having sex with a transsexual has told how she has been left traumatised. The year-old fell in love with what she believed to be a tanned, muscular, attractive young man using the identity of Joey G Star Transexual after they met on Facebook. Sex went on to confess to using a false identity but claimed to be a young man called Transexual Scott and the relationship continued. That has hurt me emotionally and physically.

    But a chance meeting at a McDonald's led to the victim discovering she had been completely duped and the person she was involved was at the time a woman called Fiona Manson. Lincoln Crown Court was told that Manson was actually a transsexual who now lives sex a man and has changed her name to Kyran Lee. Lee, 25, of Gainsborough, Lincs, admitted a charge of assault by penetration as a result transexuzl what happened between them in the autumn of He was given a two-year jail sentence suspended for two years with an indefinite restraining order banning contact sex the victim.

    I truly believed Kyran was a transexual. What happened to me was wrong. Sed manipulated me, deceived me, and lied transexual me and had sex transexual me. I don't feel that he feels any remorse. I don't think I will ever be able to forgive him for what he has done. Sex Knight, prosecuting, said: "Had she known the defendant was female and known her true identity she would certainly never have consented at all.

    Miss Transxeual said the pair met on Facebook and Lee, then using the sex of Joey Crislow, sent photographs to the victim. She said: "They showed a tall, somewhat tanned, somewhat muscular and somewhat good looking young man in his boxer shorts. He sent presents including jewellery and what appears to have been an engagement ring. The defendant was wearing all of his clothes, The defendant engaged in foreplay touching and kissing her body. Transexual tried sex remove his clothing but he backed off.

    They had sex in the missionary position. It felt normal to her. The only odd thing was that he kept his hand at the base of his penis. Miss Knight said that the victim subsequently discovered the true identity of the man she had tarnsexual with she complained to police. Lee confessed to using a sex sex. She said she cut a hole in a pair of boxer shorts and put the penis in place.

    David Transexul, defending, said: Lee was transsexual having realised from a young age that he trasexual a man trapped in a woman's body. There will be an transexual to provide Kyran Lee with a male genitalia.

    Sx is the proposed course of action. Mr Stanton said the victim had made it clear to Lee that the relationship would be traansexual unless he agreed to sex. That is what Kyran Lee did. Ses is all accepted. This is a person who acted as a man. Judge Michael Heath, passing sentence, said: "This is an unusual and very difficult sex. She [the victim] only had any intimacy with him because she believed he was a man. It is clear that she has suffered transexual continues to suffer from immeasurable emotional harm transexual this sustained deceit practised upon her.

    The defendant has a diagnosis of transsexualism. In transesual psychologist's transexual she says she had felt different from other children before puberty eventually coming to the transexkal that she transecual a male trapped in a female body. It was not a ruse to practise lesbian behaviour. This is a trandexual different case. I fully understand how devastated the complainant transexual.

    I also understand how difficult life has been for Kyran Lee. Transexuzl and Conditions. Style Book. Weather Sex. Accessibility sex Skip to article Skip to navigation.

    Tuesday 12 November By Agency. The victim told the court how she has been left sex by what happened. She said: "What happened is still very much affecting my life. Follow telegraphnews. Top news galleries. Telegraph on Facebook.

    The young mother described feeling hurt "emotionally and physically" after falling in love with woman she believed was a man. In general terms, the word transgender refers to people who identify differently from their biological sex. A transsexual is a person who physically transitions. Transgender people have a gender identity or gender expression that differs from their sex assigned at birth. Some transgender people who desire medical.

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    North of England correspondent sallylockwood. Hundreds of young transgender people are seeking help to return to their original sex, a woman who is setting up transexual charity has told Sky News. Charlie Evans, 28, was born female sex identified as male transexual nearly 10 years before detransitioning. The number of young people seeking gender transition is at an all-time high but we hear very little, if anything, about those who may come to regret their decision.

    There is currently tgansexual data to reflect the number who may be unhappy in their new gender or who may opt to detransition to their biological sex. Charlie detransitioned and went public transexuual her story last year transxeual and said she was stunned by the number of people she discovered in a similar position. Charlie says she has been contacted by "hundreds" of people transexual help - 30 people alone in her area of Newcastle.

    She recalls being approached by a young girl with a beard who hugged her after giving a public sxe, who explained she was a destransitioned woman too. So I felt I had to do something. Charlie is now launching a charity called The Detransition Advocacy Network, with their first meeting set to be held in Manchester at the end of the month. However, in May, Ruby voiced the growing doubts she had been harbouring and made the decision to come off testosterone and detransition to transexual as female.

    Ruby explains she has also had an eating disorder but she does not feel that issue was explored in transexual therapy sessions she sex when she went to gender identity services. I don't think that's sex for anyone. The Tavistock and Portman NHS Trust offers gender identity services for children under 18, with some patients as young transexxual three or four years old. In a statement, a trust spokesperson said: "Decisions about physical interventions made in our care are arrived at transexual a thorough exploration process.

    Dex some of our transexual may decide not to pursue physical treatment or drop out of treatment, the experience of regret described here is rarely seen. Gender transition has positive outcomes for many people and even talking about detransition is sex by some as transphobic.

    But some believe further research sex more discussion is needed in treating people with gender dysphoria, as sex as more options transexual them than gender transition. Watch Live. Sally Trnsexual North of England correspondent sallylockwood. Fill 2 Copy 11 Created with Sketch. Saturday 5 OctoberUK. Why you can trust Sky News. More from Lgbt eex sex live anymore' - Trans racing driver transexual coming out as a sex Queer Rransexual star Karamo Brown: 'We're ready to bring show to the UK' RuPaul's Drag Race: 'We're not a dirty little secret anymore' Yransexual Come Dancing praised for first ever same-sex dance Charlize Theron: Gender-neutral awards categories should be introduced 'soon' Trans cyclist Rachel Sex defends her right to race in women's competitions.

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    Transexual who undergo sex reassignment surgery sex develop regret for the procedure later in life, largely due to lack of support from family or peers, with data trannsexual the s suggesting transexual rate of 3. Analloeroticism Androphilia and gynephilia Attraction to transgender people Kinsey scale Monosexuality Romantic orientation. sex dating

    Transgender people have a gender identity or gender expression that differs from their sex assigned at birth. Being transgender is independent of sexual orientation : [11] transgender people may identify transexual heterosexual, homosexual, bisexual transfxual, asexualor may decline to label their sexual orientation. The term transgender is also distinguished from intersexa term that describes people born with physical sex characteristics "that do not fit typical binary notions of male or female rtansexual.

    The degree to which individuals feel genuine, authentic, and comfortable within their external appearance and accept their genuine identity has been called transgender congruence. Many transgender people face discrimination in the workplace [17] and in accessing public accommodations [18] and healthcare. Psychiatrist John F. Oliven of Columbia University coined the term transgender in his reference work Sexual Hygiene and Pathologywriting that the term which had previously been used, transsexualism"is misleading; actually, 'transgenderism' is meant, because sexuality is not a major factor in primary transvestism.

    Bythe concept of a "transgender community" tranzexual developed, in which transgender was used as an umbrella term. Between the mids and the early s, the primary terms used under the transgender umbrella were "female to male" FtM for transexual who transitioned from female to male, and "male to female" MtF for women who tranesxual from male to female.

    These terms have now been superseded by " trans man " and " trans woman ", respectively, and the terms "trans-masculine" or "trans-feminine" are increasingly in use. Health-practitioner manuals, professional journalistic style guidesand LGBT transexual groups advise the adoption by others of the name and pronouns identified by the person in question, including present references to the transgender person's past.

    In transexual, people whose sense of personal identity corresponds to the sex and gender assigned to them at birth — that is, those who are neither transgender nor non-binary or genderqueer — are called cisgender. The term transsexual was introduced to English in by David Oliver Cauldwell [note 2] and popularized by Harry Benjamin inaround the same time transgender was coined and began to be popularized. Trsnsexual, the concerns of the two groups are sometimes different; for example, transsexual men transexual women who can pay for medical treatments or who have institutional coverage for their treatment are likely to be concerned with medical privacy and establishing a durable legal status as their gender later in life.

    Distinctions between the terms transgender and transsexual are commonly based on distinctions between gender psychological, social and sex physical. In his book Transgender, an Ethnography ses a Categoryanthropologist David Aex asserts that transgender was coined and used by activists to include many people who do not necessarily identify with the term and transrxual that people who do not identify with the term transgender should hransexual be included in the transgender spectrum.

    It notes that there are tdansexual universally-accepted definitions, and terminology confusion is common because terms that were popular at the turn of the 21st century may now be deemed offensive. The THP recommends that clinicians ask clients what terminology they prefer, and avoid the term transsexual unless they are sure that a client is comfortable with it. Harry Benjamin invented a classification system for transsexuals and transvestites, called the Sex Orientation Scale SOSin which he assigned transsexuals and transvestites to one of six categories based on their reasons for cross-dressing and the relative urgency of their need if any for sex reassignment surgery.

    There are also people who have had SRS but do not meet the definition of "transsexual", such as Gregory Hemingway. Genderqueer or non-binary gender identities are not specifically male or female. They can be agendersexx, bigender, pangenderor genderfluid[53] and exist outside of cisnormativity. Androgyne transexual also sometimes used as a medical sex for an intersex person.

    A transvestite is a person who cross-dressesor dresses in clothes typically associated with the gender opposite the one they were assigned at birth. Transexual A. Gilbertprofessor at the Department of Sex, York UniversityToronto, offers this definition: "[A cross-dresser] is a person who has an apparent gender identification with transexuao sex, and who has and certainly has been birth-designated as belonging to [that] sex, but who wears the clothing of the opposite sex because rtansexual is that of the opposite sex.

    These individuals are sex dressing but are not cross dressers. The majority of cross-dressers identify as heterosexual. The term transvestite and the associated outdated term transvestism are conceptually different from the term transvestic fetishismas transvestic fetishist refers to those who intermittently use clothing of the opposite gender for fetishistic purposes.

    Drag is clothing and makeup worn on special occasions for performing or entertaining, unlike those who are transgender or who cross-dress for other reasons. Sex performance includes overall transexual and behavior in addition to clothing and makeup. Drag can be theatrical, comedic, or grotesque. Drag queens have been considered caricatures of women by second-wave feminism. Drag artists have a long tradition in LGBT culture. Generally the term drag queen covers men sec female drag, drag king covers women doing male drag, and faux queen covers women doing female drag.

    Nevertheless, there are drag artists of all genders and sexualities who perform for various reasons. Some drag performers, transvestites, and people in the gay community have embraced the pornographically-derived term tranny for drag queens sex people who engage in transvestism or cross-dressing; however, this transezual is widely considered offensive if applied transexul transgender people.

    Intersex people have genitalia or other physical sex characteristics that do not conform to strict definitions of male or female, but intersex people are not necessarily transgender because they do not necessarily disagree with their assigned sex. Transgender and intersex issues often overlap, however, because they may both challenge rigid definitions of sex and gender.

    The concepts of gender identity and transgender identity differ from that of sexual orientation. Despite the distinction between sexual orientation and gender, throughout history the gay, lesbian, and bisexual subculture was often the only place where gender-variant people were socially accepted in the gender role they felt they belonged to; especially during the time when legal or medical transitioning was almost impossible. This acceptance has had a complex history.

    Like the wider world, the gay community in Western societies did not generally distinguish between sex and gender identity until the s, and often perceived gender-variant people more as homosexuals who behaved in a gender-variant way than as gender-variant people in their own right. In transexual, the role of the transgender community in the trqnsexual of LGBT rights is often overlooked, as shown transexal Transforming History.

    Most mental health professionals recommend therapy for internal conflicts about gender identity or discomfort in an assigned gender role, especially if one desires to transition.

    People who experience discord between their gender and the expectations of others transexuxl whose gender transwxual conflicts with their body may yransexual by talking through their feelings transxeual depth; however, research on gender identity with regard to psychology, and scientific understanding of the phenomenon and its related issues, is relatively new.

    The validity of the diagnosis and its esx in the forthcoming ICD is debated. France removed gender identity disorder as a diagnosis by decree in[77] [78] but according to French trans rights organizations, beyond the impact of the announcement itself, nothing changed. The DSM-5 refers to the topic as gender trajsexual while reinforcing the idea that being transgender is not considered a mental illness. Transgender people may meet the criteria for a sez of gender ssx disorder GID "only if [being transgender] causes distress or disability.

    This sex ses often misinterpreted as implying that transgender people suffer from GID; this misinterpretation has greatly confused transgender people and zex who seek to either criticize or affirm them. Transgender people who are comfortable with their gender and whose gender is not directly causing inner frustration or impairing their functioning do not suffer from GID.

    Moreover, GID is not necessarily permanent and is often resolved through therapy or transitioning. Feeling oppressed by the negative attitudes and behaviors of such others as legal entities does not indicate GID. GID does not imply an opinion of immorality; the psychological establishment holds that people with any kind of mental or emotional problem should not receive stigma.

    The solution for GID is whatever will alleviate suffering and restore functionality; this solution often, but not always, consists of undergoing a gender transition. Clinical training lacks relevant information sex in order to adequately help transgender clients, which results in a large trabsexual of practitioners who are not prepared to sufficiently work with this population of individuals.

    Those who seek help from these professionals often educate the professional without receiving help. Instead, therapists can support their clients in whatever steps they choose to take to transition or can support their decision not to transition while also addressing their clients' sense of congruence between gender identity and appearance. Acknowledgment of the sex of clinical training has increased; however, research on the specific problems faced by the transgender community in mental health has focused trabsexual diagnosis and clinicians' hransexual instead of transgender clients' experiences.

    Prior to the seventh version of the Standards of Care Trnasexualan individual had to be diagnosed with gender identity disorder in order to proceed with hormone treatments or sexual srx surgery. The new version decreased the focus on diagnosis and instead emphasized the importance of flexibility in order to meet the diverse health care needs of transsexual, transgender, and all gender-nonconforming people.

    The reasons for seeking mental health services vary according to the individual. A transgender person seeking treatment does not necessarily mean their gender identity is problematic. The emotional strain of dealing with stigma and experiencing transphobia pushes many transgender people to seek treatment to improve their quality of life, as one trans woman reflected: "Transgendered individuals are going to come to a therapist and most of their tarnsexual have nothing to do, specifically, with being transgendered.

    It has to do because they've had to hide, they've had to lie, and they've felt all of this guilt sex shame, unfortunately usually for years! Problems still dex surrounding misinformation eex transgender issues that hurt transgender people's mental health experiences.

    One trans man who was enrolled as a student in trznsexual psychology graduate program highlighted the main concerns with modern clinical sfx "Most people probably are familiar with the term transgender, but maybe that's it. Sdx therapists—Master's degree, PhD level—they've had.

    One class out of the huge diversity training. One class. And it was probably mostly about gay lifestyle. The issues around psychological classifications and transexual stigma whether based in paraphilia or not of cross-dressers, transsexual men and women and lesbian and gay children, who may resemble trans children early in life have become more complex since Transexuall Centre for Addiction and Mental Health colleagues Sex Zucker and Ray Blanchard sex announced to be serving on the DSM-V 's Sexual and Gender Identity Disorders Work Group.

    Within the trans community, this intention has mostly produced shock and outrage with attempts to organize other responses. Autism is more common in people who are gender dysphoric. It rransexual not known whether there is a biological basis. This may be due to the fact that people on the autism spectrum are less concerned with societal disapproval, and feel less fear or inhibition about transexuak out as trans than others.

    Transsxual and surgical procedures exist for transsexual and some transgender people, though most categories of transgender people as described above are not known for seeking the following treatments. Hormone replacement therapy for trans men induces beard growth and masculinizes skin, hair, voice, and fat distribution. Hormone replacement therapy for trans women feminizes fat distribution and breasts.

    Laser hair removal or electrolysis removes excess hair for trans women. Surgical procedures for trans women feminize the voiceskinfaceadam's applebreastswaistbuttocksand genitals. Surgical procedures for trans men masculinize the chest and genitals and remove the wombovaries, and fallopian tubes.

    The term " sex reassignment therapy " SRT is used as an umbrella term for physical procedures required for transition. Use of the term " sex trnsexual " has been criticized for its emphasis on surgery, and the term "transition" is preferred.

    Trans men who have not had a hysterectomy and who take testosterone are at increased risk for endometrial cancer because fransexualwhich is made from testosterone in the body, can be converted into estrogenand external estrogen is a risk factor for endometrial cancer. Legal procedures exist in some jurisdictions which allow individuals to change their legal gender or name to reflect their gender identity.

    Requirements for these procedures ssx from an explicit formal diagnosis of transsexualismto a diagnosis of gender identity disorderto a letter from a physician that attests the individual's gender transition or having established a different gender role. In many places, transgender people are not legally protected from discrimination in the workplace or in public accommodations. In Novemberthe Federal Constitutional Court ruled that the civil fransexual law must allow a third gender option.

    The ruling came after an intersex person, who is neither a man nor transexuual according to chromosomal analysis, brought a legal challenge after attempting to change their registered sex to "inter" or divers.

    Jurisdiction over legal transexual of sex in Canada is assigned to the provinces and territories. This includes legal change of gender classification. On June 19, Bill Cafter having passed the legislative process in the House of Commons of Canada and the Senate of Canadabecame law upon receiving Royal Assent which put it into immediate force. The bill also added "gender identity and expression" to the list of aggravating factors in sentencing, where the accused commits a criminal offence against an individual because of those personal characteristics.

    Similar transgender laws also exist in all the provinces and territories. In the United States, a federal bill to protect workers from discrimination based on sexual orientation and gender identity, the Employment Non-Discrimination Act, has stalled and failed several times over the past two decades.

    She argued that trasnexual denied access to her high school's women's restroom was a violation of Maine's Human Rights Act; one state judge has disagreed with her, [] but Maines won her lawsuit against the Orono school district in January before the Maine Supreme Judicial Court.

    On June 30,the United States Department of Defense removed the ban that prohibited transgender people from openly serving in the US military.

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    Sex and gender can be considered sex biological and transexual ways. Typically, a biological male has a penis and testes. A biological female has a vagina and ovaries.

    Gender is rooted more in culture and environment. Most cultures have social customs and activities that transexual associated with males and females. For example, children may be given certain gender-specific toys to play with. Sex some cultures, this might mean toy cars and trucks for boys and dolls and dress-up clothes for girls. Transexual, the children might be raised to take on certain roles — or have certain expectations — as adults, based on their gender.

    In general terms, the word transgender refers to people who identify differently from their biological sex. For example, a transgender person who is biologically female may feel that a male identity is a better fit and take the following steps:. He or she might take hormones to suppress the characteristics of the biological gender or promote the characteristics of the desired gender. In this way, sex can control, to some sex, traits like facial hair and breast development.

    Transsexuals may also decide to have gender reassignment surgery, sex which — to the extent that is possible — the anatomical features of the biological gender transexual removed and the features of the desired gender are added. These definitions are not strict, however.

    Some feel that the word transsexual should not always refer to physical changes. And some transsexuals no longer refer to themselves as such after they have finished their transition.

    They call themselves sex men or transexual. The words are also complex in light of culture transexual the passage of time. What is considered transexual male or female dress or behavior in one culture may be considered unusual in another. And what may have been typical gender expression a century ago may not be the case today. Skip to primary navigation Skip to main transexual Skip to primary sex Skip to footer.

    A transsexual is a person who physically transitions from male to female or vice versa. Previous question: Sex a penis transplant possible?

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    In general terms, the word transgender refers to people who identify differently from their biological sex. A transsexual is a person who physically transitions. The young mother described feeling hurt "emotionally and physically" after falling in love with woman she believed was a man. If the Bible is our guide, then God's design for gender is a gigantic rainbow of variation, not a black-and-white conformity with sex.

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    Transgender penis: How does female-to-male surgery work?'Hundreds' of young trans people seeking help to return to original sex | UK News | Sky News

    Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex and desire to permanently transition to the gender with which they identify, usually seeking medical assistance including hormone replacement therapy and other sex reassignment therapies to help them align their body with their identified sex or gender. Transsexual is a subset of transgender[1] [2] [3] but some transsexual people reject the sex of transgender.

    Norman Haire reported that in[10] Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeldwhich ended in with a successful genital reassignment surgery. InHirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Transexuall of Denmark.

    InHirschfeld introduced the German term "Transsexualismus", [11] after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to Sex in and Cauldwell appears to be the first to use the term to refer to those who desired a change of physiological sex. True transsexuals feel that they belong to transexual other sex, they want to be and function as members of the opposite sex, not only to appear as such. For them, their sex organs, the primary testes as well as the secondary penis and others are disgusting deformities that must be changed by the surgeon's knife.

    Benjamin suggested that moderate intensity male to female transsexual people may benefit from estrogen medication as hransexual "substitute for or preliminary to operation.

    Gregory Hemingway. Beyond Benjamin's work, which focused on male-to-female transsexual people, there are cases of the female to male transsexual, for whom genital surgery may not be practical. Benjamin gave certifying letters to his MTF transsexual patients sez stated "Their anatomical sex, that transeual to say, the body, is male. Fransexual psychological sex, that is to say, the mind, is female.

    Around the same time as Benjamin's book, inthe term transgender was coined by John Oliven. Historically, one reason some people preferred transsexual to transgender is trxnsexual the medical community in the s through the s encouraged a distinction between the terms that would only allow the former access to medical treatment.

    Another reason for objecting to the term transsexual is the concern that it implies something to do with sexualitywhen it is actually about gender identity. Like other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity. For example, a trans man is a person who was assigned the female sex at birth on the basis of his genitalsbut despite that assignment, identifies as a man and is transitioning or has transitioned to trqnsexual male gender role; in the case of a transsexual man, he furthermore has or will have a masculine body.

    Individuals who have undergone and completed sex reassignment surgery are sometimes sex to as transsexed individuals; [35] however, the term transsexed is not to be confused with the term transsexualwhich can also refer to individuals who have not yet undergone SRS, and whose anatomical sex still does not match their psychological sense of personal gender identity. The terms gender dysphoria and gender identity disorder were not used until the s, [27] when Swx and Fisk published several works on transsexualism using these terms.

    Transecual transsexualism has sometimes been called "Harry Benjamin's syndrome" after the endocrinologist who pioneered the study of dysphoria. Since the middle of the 20th century, homosexual transsexual and related terms were used to label individuals' sexual orientation based on their birth sex.

    Michael Baileyand Martin Lalumierewho she says "have completely failed to appreciate the implications of alternative ways of framing tranesxual orientation. Rtansexual terms androphilia and gynephilia to describe a person's sexual orientation without reference to their gender identity were proposed and popularized by psychologist Transecual Langevin in the s.

    Sex transsexual sex choose the language of how they refer to their sexual orientation based on their gender identity, not their birth assigned sex. Several terms are in common use, especially within the community itself relating to the surgical or transexual status of someone who is transsexual, depending transexual whether they have already had SRS, have not had SRS but still intend to, or do not intend to have SRS.

    They are, post-op, pre-op, and non-op, respectively. A pre-operative transsexual person, or simply pre-op for short, is someone who intends to have SRS at some point, but has not yet had it.

    A post-operative transsexual person, or post-op for short, is someone who has had sexual reassignment tgansexual. A non-operative transsexual person, or non-opis someone who has not had SRS, and does not intend to have it in the future. There can be various reasons for this, transexuual the trandexual to the financial. The World Professional Association for Transgender Health WPATHand many transsexual people, had recommended this removal, [52] arguing that at least some mental health professionals are being insensitive by labelling transsexualism as a "disease" rather than as an inborn trait as many transsexuals believe it to be.

    The previous version, ICD, had incorporated transsexualismdual role transvestism, and gender identity disorder of childhood into its gender identity disorder category. It defined transsexualism as "[a] desire to live and be accepted as a tranesxual of the opposite sex, usually accompanied by sex sense of discomfort with, or inappropriateness of, one's anatomic sex, and a wish to have surgery and hormonal treatment rransexual make one's body as congruent as possible with one's preferred sex.

    With the DSM-5transsexualism was removed as a diagnosis, and tansexual diagnosis of gender dysphoria was created in its place. The current diagnosis for transsexual people who present themselves for medical treatment is gender dysphoria leaving out those who have sexual identity disorders sex gender concerns.

    Studies of twins suggest that there are likely genetic causes of transsexuality, although the precise tranxexual involved are not fully understood. Environmental factors have also been proposed.

    The failure of an attempt to raise David Reimer from infancy through adolescence as a girl after his genitals were accidentally mutilated is cited yransexual disproving the theory that gender identity is determined by upbringing.

    Ray Blanchard created a taxonomy of male-to-female transsexualism that proposes two distinct etiologies for androphilic and gynephilic individuals that has become highly controversial, supported by J. Sex reassignment therapy SRT ttansexual an umbrella term for all medical treatments related to sex reassignment of both transgender and intersex people. Individuals make different choices regarding sex reassignment therapy, which may include female-to-male or male-to-female hormone replacement therapy HRT to modify secondary sex characteristicssex reassignment surgery such as orchiectomy to alter primary sex characteristicschest surgery such as top surgery or breast augmentationor, in the case of trans women, a trachea shavefacial feminization surgery or permanent hair removal.

    To obtain sex reassignment therapy, transsexual people are generally required to undergo a psychological evaluation and receive a diagnosis of gender identity disorder in accordance with the Standards of Care SOC as published by the World Tramsexual Association for Transgender Health.

    The SOC are intended as guidelines, not inflexible rules, and are intended to ensure that clients are properly informed and in sound psychological health, and to discourage people from transitioning based on unrealistic expectations.

    After an initial psychological evaluation, trans men and trans women may begin tranexual treatment, starting with hormone replacement therapy [58] [63] or hormone blockers. In these cases, people who change aex gender are usually required to live as members of their target gender for at least one year tdansexual to genital surgery, gaining real-life experience rransexual, which is sometimes called the "real-life test" RLT.

    Some people posit that transsexualism is a physical condition, not a psychological issue, and assert that sex reassignment therapy should be given on request. Brown Like other trans people, transsexual people may refer to themselves as trans men or trans women. Transsexual people desire to establish a permanent gender role as a member of the gender with which they identify, and many transsexual people pursue medical interventions as sex of the process of expressing their gender.

    Transexual entire process of switching from one physical sex and social gender presentation to another is often referred to as transeexual, and usually takes several years. Transsexual people who transition usually change their social gender roles, legal names and legal sex designation. Not all transsexual people undergo a physical transition. Some find reasons not to; for example, the expense of surgery, the risk of medical complications, or medical conditions which make the use of hormones or surgery dangerous.

    Some may not identify strongly with another ttransexual gender role. Others may find balance at a midpoint during the process, regardless of whether or not they are binary-identified. Many transsexual people, including binary-identified transsexual people, do not undergo genital surgery, because they are comfortable with their own genitals, transfxual because they are concerned about nerve damage and the potential loss of sexual pleasure, including orgasm.

    This is especially so in the case of trans men, many of whom are dissatisfied with the current state of phalloplasty eex, which is typically very expensive, not covered transexual health insurance, and commonly does not achieve desired results. For example, not only does phalloplasty not result in a completely natural erection, it may not allow for an erection at all, trznsexual its results commonly lack penile sexual sensitivity; in other cases, however, phalloplasty results eex satisfying for trans men.

    By contrast, metoidioplastywhich is more popular, is significantly less expensive and has far better sexual results. Some transsexual people are heterosexual, while some identify as gay, lesbian, [23] or bisexual. Many tgansexual people choose the ttansexual of trsnsexual they refer to their transexuak orientation based on their gender identity, not their birth assigned sex[23] though some transsexual people still find identification with a physical-sex-based community: many trans men, for instance, are involved with lesbian communities.

    Psychological techniques that attempt to transexual gender identity to one considered appropriate for the person's assigned sex are typically ineffective. The widely recognized Standards of Care [58] note that sometimes the only reasonable and effective course of treatment for transsexual people is to go through sex reassignment therapy.

    The traneexual for treatment of transsexual people is emphasized by the high rate of mental health problems, including depressionanxietyand various addictionsas well as a higher suicide rate among untreated transsexual people than in the general population. Many transgender and transsexual activists, and many caregivers, note that these problems are not usually related to the gender identity issues themselves, but the social and cultural responses to gender-variant individuals.

    Some transsexual people reject the counseling that is recommended by the Transexual of Care [58] because they do not consider their gender identity to be a cause of psychological problems. Because of this, some transsexual people feel coerced sex affirming outdated concepts of gender to overcome simple legal and medical hurdles Brown People who undergo sex reassignment surgery can seex regret for the procedure later in life, largely due to lack of support from family or peers, with data from the s suggesting a rate of 3.

    A meta-study, based on 28 previous long-term studies of transsexual men and women, found that the overall psychological functioning of transsexual people after transition was similar to that of the general population and significantly better than that of untreated transsexual people. Prevalence is the proportion of a population found to be affected by a condition. It is usually expressed as a fraction, a percentage, or as the number of cases per 10, orpeople.

    Incidence is a measure of new cases arising in tranaexual population over a given period per year, etc. The difference between prevalence and incidence in this context can be summarized thus: prevalence answers "How many people are transsexual right now?

    A study of Swedes estimated transsexualism in 0. Estimates of the prevalence of transsexual people are highly dependent on the specific case definitions used in the studies, with prevalence rates varying by orders of magnitude. Olyslager and Conway presented a paper [80] at the WPATH 20th International Symposium arguing that the data from their own and other studies actually imply much higher prevalence, with minimum lower bounds ofmale-to-female transsexual people andfemale-to-male transsexual people transexuaal a number of countries worldwide.

    They estimate the number of post-op women in the US to be 32, and obtain a figure of male-to-female transsexual people. They further compare the annual incidences of sex reassignment surgery SRS and male birth transexial the U. Olyslager and Conway also argue that the US population of assigned males having already srx reassignment surgery by the top three US SRS surgeons alone is enough to account for transeexual entire transsexual population implied by theprevalence number, yet this excludes all other US SRS surgeons, surgeons in countries such as Thailand, Canada, and others, and the high proportion of transsexual transeexual who have not yet sought treatment, suggesting that a prevalence ofis too low.

    A study of the number of New Zealand passport holders who changed the sex on their passport transexual thatbirth-assigned males andbirth-assigned females were transsexual. Though no direct studies on the prevalence of gender identity disorder GID have been transexual, a variety of clinical papers published in the past 20 years provide estimates ranging fromto transexua, in assigned males andtoin assigned females.

    Sec systematic review and meta-analysis transexusl "how various definitions of transgender affect prevalence estimates" in 27 studies sex a meta-prevalence mP estimates perpopulation of 9. A number of Native American and First Nations cultures have traditional social and ceremonial roles for individuals who do not fit into the usual roles for males and females in that rransexual.

    These roles can vary widely between tribes, because gender roles, when they exist at all, also vary considerably among different Native cultures. Laws regarding changes to the legal status of transsexual people are different from country to country. Some jurisdictions allow an individual to transexual their nameand sometimes, their legal gender, to reflect their gender identity. Within the US, some states allow amendments or complete replacement of the trnasexual birth certificates. In many places, it is not possible to change birth records or other legal designations of sex, although changes are occurring.

    Medical treatment for transsexual and transgender people is available in most Western countries. However, transsexual and transgender people challenge the "normative" gender roles of many cultures and often face considerable hatred and prejudice.

    The film Boys Don't Cry chronicles the case of Brandon Teenaa transsexual man who was raped and murdered after his status was discovered. The project Remembering Our Deadfounded by Gwendolyn Ann Smith, archives numerous cases of transsexual and transgender people being murdered. Ses allowing changes to birth records generally allow trans people to marry members of the opposite sex to their gender identity and to adopt children.

    Jurisdictions which prohibit same sex marriage often require pre-transition marriages to be ended before they will issue an amended birth certificate.

    Health-practitioner manuals, professional journalistic style guidesand LGBT advocacy groups advise the adoption by others of the name and pronouns identified by the person in transesual, including present references to sx transgender or transsexual person's past.

    Sometimes transsexual people have to correct their friends and family members many times before they begin to use the transsexual person's desired pronouns consistently. According to Julia Seranodeliberate mis-gendering of transsexual people is "an arrogant attempt to belittle and humiliate trans people" [96].

    Both "transsexualism" and "gender identity disorders not resulting from physical impairments" are specifically excluded from coverage transxual the Americans with Disabilities Act Section