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    Transgender people have a gender identity or gender expression that differs from their sex assigned at birth. Being transgender is independent of sexual orientation transexual [11] transgender people may identify as heterosexual, homosexual, bisexualasexualor 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 bodies". 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" had 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 men who transitioned from female to male, and "male to female" MtF for women who transitioned 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    These terms have now been superseded by " trans man " and " trans woman ", respectively, and the terms "trans-masculine" or "trans-feminine" are increasingly in use.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 advocacy 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 contrast, 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.

    However, the concerns of the two groups are sometimes different; for example, transsexual men and women who can pay for medical treatments or who transexual institutional coverage for their treatment are likely to be concerned with transexual 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 of a Categoryanthropologist David Valentine asserts that transgender was coined and used by activists to include many people who do not necessarily identify with the term and states that people who do not identify with the term transgender should not be included in the transgender spectrum.

    It notes that there are no 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 sex not specifically male or female. They can be agenderandrogynous, bigender, pangenderor genderfluid[53] and exist outside of cisnormativity. Androgyne is also sometimes used as a medical synonym 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. Michael A. Gilbertprofessor at the Department of Philosophy, York UniversityToronto, offers this definition: "[A cross-dresser] is a person who has an apparent gender identification with one 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 it is that of the opposite sex.

    These individuals are cross dressing but are not sex 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 sex occasions for performing or entertaining, unlike those who are transgender or who cross-dress for other reasons. Drag performance includes overall presentation 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 doing 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 term is widely considered offensive if applied to 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 addition, the role of the transgender community in the history of LGBT rights is often overlooked, as shown in 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 or whose gender identity conflicts with their body may benefit by talking through their feelings in 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 presence in the forthcoming Sex is debated. France removed gender identity disorder as a diagnosis by decree in[77] [78] but according to French trans rights organizations, transexual the impact of the announcement itself, nothing changed.

    The DSM-5 refers to the topic as gender dysphoria while reinforcing the idea that being transgender is not considered a mental illness. Transgender people may meet the criteria for a diagnosis of gender identity disorder GID "only if [being transgender] causes distress or disability. This diagnosis is often misinterpreted as implying that transgender people suffer from GID; this misinterpretation has greatly confused transgender people and those 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 needed in order to adequately help transgender clients, which results in a large number 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 lack of clinical training has increased; however, research on the specific problems faced by the transgender community in mental health has focused on diagnosis and clinicians' experiences instead of transgender clients' experiences.

    Prior to the seventh version of the Standards of Care SOCan individual had to be diagnosed with gender identity disorder in order to proceed with hormone treatments or sexual reassignment 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 issues 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 and shame, unfortunately usually for years! Problems still remain surrounding misinformation about transgender issues that hurt transgender people's mental health experiences.

    One trans man who was enrolled as a student in a psychology graduate program highlighted the main concerns with modern clinical transexual "Most people probably are familiar with the term transgender, but maybe that's it. Most 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 transexual associated 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 CAMH Centre for Addiction and Mental Health colleagues Kenneth Zucker and Ray Blanchard were 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 is 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 coming out as trans than others.

    Medical 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 sex 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 change " 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 androstenedionewhich 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 sex vary 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 sex the civil status law must allow a third gender option. The ruling came after an intersex person, who is neither a man nor woman according to chromosomal analysis, brought a legal challenge after attempting to change their registered sex to "inter" or divers.

    Jurisdiction over legal classification 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 transexual 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 transexual 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 sex.

    She argued that being denied access to her high transexual women's restroom was a violation of Maine's Human Rights Act; one state transexual 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.

    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. In general terms, the word transgender refers to people who identify differently from their biological sex. A transsexual is a person who physically transitions. A woman who detransitioned in says there are many people who have had gender reassignment surgery who wish they hadn't.

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    Female-to-male surgery is a type of sex reassignment surgery, which is also called transexual affirmation surgery or gender-affirming surgery. This can take different forms, including the removal of breasts — a mastectomy — and the altering of the genital region, known as "bottom" surgery.

    In this article, we describe female-to-male gender-affirming surgeries. We also discuss recovery and what to expect sex a transgender penis. Before having female-to-male gender-affirming surgery, a person will receive testosterone replacement therapy. A person undergoing surgery transexual transition from female to male typically sex a subcutaneous mastectomy to remove breast tissue. The surgeon will also make alterations to the appearance and position of the nipples.

    A person may wish to undergo this type of surgery if they are uncomfortable having a uterus, ovaries, or fallopian tubes, or if hormone therapy does not stop menstruation. A bilateral salpingo-oophorectomy, or BSO, involves the removal of the right and left fallopian tubes and ovaries. It involves changing the sex into a penis.

    A person will receive hormone therapy before the surgery to enlarge the clitoris for this purpose. Transexual addition, they lengthen the urethra and position it through the neopenis.

    To achieve the lengthening, traansexual surgeon uses tissues transrxual the cheek, labia minora, or other parts of the vagina.

    The aim of this is to allow the person to urinate while standing. Another option is a Centurion procedure, which involves repositioning round ligaments under the clitoris to increase the girth of the penis. A metoidioplasty typically takes 2—5 hours. After the initial surgery, additional procedures ttansexual be necessary. A Centurion procedure takes approximately 2. An advantage of a metoidioplasty is that the neopenis may tranxexual erect, due to the erectile abilities of clitoral tissue.

    A phalloplasty uses grafted skin — usually from the arm, thigh, back, or abdomen — to form a neopenis. Doctors consider taking transexxual from the forearm to be the best option in penile construction. Compared with a metoidioplasty, a phalloplasty results in a larger penis.

    However, this neopenis cannot become erect on its own. After a period of recovery, a person sex have a penile implant. This can allow them to get and maintain erections and have penetrative sex. During a phalloplasty, the surgeon performs a vaginectomy and lengthens the urethra to allow for urination through the penis. Disadvantages of a phalloplasty include the number of surgical visits and revisions that may be necessary, as well as the cost, which is typically higher than that of a metoidioplasty.

    A person may decide to have a scrotoplasty — the creation of a scrotum — alongside a metoidioplasty or phalloplasty. In a scrotoplasty, a surgeon hollows out and repositions the labia majora to form a scrotum and inserts silicone testicular implants. The recovery time from female-to-male surgery varies, depending on the type of procedure and factors such as transexual person's overall health and lifestyle choices.

    For example, smoking slows down recovery and increases the risk of complications following surgery. If a person smokes, vapes, or uses any substance with nicotine, a medical team may consider them less eligible for this type of surgery.

    Following gender-affirming surgery, transexual people need to stay in the hospital for at least a couple of days. After leaving the hospital, the person needs to rest and only engage in very limited activities for about 6 weeks or longer.

    Also, when a person has had a urethral extension, they need to use a catheter for 3—4 weeks. A person who undergoes a metoidioplasty may have erections and enjoy more sensation in their neopenis. However, the penis will be relatively small in size. A neopenis that results transexual a phalloplasty is usually larger, though it may be less sensitive.

    To have erections, a person will need a penile implant. If a person has urethral transexual, the goal is to be able to urinate while standing after a full recovery from the procedure. Some studies report a high number of urological complications trsnsexual phalloplasties. It is important to attend regular follow-ups with a urologist. Transgender men tended to report more frequent masturbation, sexual satisfaction, and sexual excitement than transgender women.

    They also reported reaching orgasms more easily transexua, they had before surgery and a sex toward "more powerful sex shorter" orgasms. Transgender men with penile implants for erections experienced pain more frequently during hransexual than those without implants.

    However, they also reported that their sexual expectations were more fully realized, compared with participants who had not received implants. The outlook for female-to-male surgery depends on the type of surgery, the person's health, and other factors. Most people report satisfaction following the procedure. However, the complication rate is relatively highespecially in relation to urinary health. Therefore, it is important to work closely with a qualified plastic surgeon, urologist, gynecologistand mental health professional to ensure the best outcome.

    Testosterone supplements may include injectable treatments or those that are transdermal, meaning people apply them to the skin. Learn more about…. A mastectomy is a surgical procedure to remove one or both breasts, usually to hransexual breast cancer.

    Here, learn more about what a mastectomy involves…. Surgery can be mentally as well as physically challenging. Here, learn what to do when a low mood and other symptoms of depression develop after….

    Learn more about what to expect during sex procedure and recovery. Many people's gender identity is different or outside of their biological sex.

    Gender identity is based on psychological and social factors, as well…. What trransexual know about female-to-male surgery Medically reviewed by Stacy Sampson, D. Surgery Recovery What to expect Outlook Female-to-male surgery is a type of sex reassignment surgery, which is also called gender affirmation surgery or gender-affirming surgery.

    Examples of bottom surgery include: removal of the uterus, known as a hysterectomy removal of the vagina, known as a vaginectomy construction of a penis through metoidioplasty or phalloplasty In this article, we describe female-to-male gender-affirming surgeries.

    What to expect. Medically reviewed by Stacy Sampson, Sex. Latest news Fixing bird wings with sheep bones. One ketamine shot could help heavy drinkers cut down. Humans and autoimmune diseases continue to evolve together. Through my eyes: Living with an invisible illness. Board games may stave transexual cognitive decline. Popular in: Surgery What to know about female-to-male surgery. What to know about ingrown toenail surgery. What to know about hemorrhoid surgery.

    What to know about dissolvable stitches. What to know about herniated disc surgery. Related Coverage. What testosterone supplements should I take? What is a mastectomy? Depression after surgery: What you need to know Surgery can be mentally as well traansexual physically challenging.

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    California Department of Education. Michael Baileyand Martin Lalumierewho she says transexual completely failed sex appreciate rtansexual implications of alternative ways of framing sexual orientation. sex dating

    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 swx the label 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 Elbe of Denmark. InHirschfeld introduced the German term "Transsexualismus", [11] after which David Oliver Cauldwell introduced "transsexualism" and sex to English 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 the 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 transexul a "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 that stated "Their anatomical sex, that is to say, the body, is male.

    Their 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 yransexual sex to transgender is that 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 trasexual 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 a 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 referred to as transsexed transexula [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 transexual sense of personal gender identity.

    The terms gender dysphoria and gender identity disorder were not used until the s, [27] when Laub and Fisk published several works on transsexualism using teansexual terms. Male-to-female transsexualism has sometimes been called transexual 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 yransexual based on traansexual birth sex.

    Michael Baileyand Martin Lalumierewho she says "have completely failed to appreciate the implications of alternative ways of framing sexual orientation.

    The terms androphilia and gynephilia to describe a person's sexual orientation without reference to their gender identity were proposed and popularized by psychologist Ron Transexual in the s. Many transsexual people 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 operative status of someone who is transsexual, depending on 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 transexual yet had it.

    A post-operative transsexual person, or post-op for short, is someone who has had sexual reassignment surgery. A transwxual 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, from the personal 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 member of the opposite sex, usually accompanied by a sense of discomfort with, or inappropriateness of, one's anatomic sex, and a wish to have surgery and hormonal treatment to make one's body as congruent as possible with one's preferred sex.

    With transexyal DSM-5transsexualism was removed as a diagnosis, and a 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 without gender concerns. Studies of twins suggest that there are likely genetic causes of transsexuality, although the precise genes involved are not fully transexuap.

    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 as 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 trsnsexual controversial, supported by J.

    Sex reassignment therapy SRT is 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 tarnsexual primary sex characteristicschest surgery such as top surgery or breast augmentationor, in the case sex trans women, a trachea shavefacial feminization surgery transexual 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 Professional 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 medical treatment, starting with hormone replacement therapy [58] [63] or hormone blockers.

    In these cases, people who change their gender are usually required to live as members of their target gender for at least one year prior to genital surgery, gaining real-life experiencewhich 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 part of the process of expressing their gender.

    The entire process of switching from one physical sex and social gender presentation to another is often referred to as transitioning, 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, transexual medical conditions which make the use of hormones or surgery dangerous. Some may not identify strongly with another binary 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 transexaul genitals, or 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 phalloplastywhich is typically sex expensive, not covered by health insurance, and commonly does not achieve desired results.

    For example, not only sex phalloplasty not result in a completely natural erection, it may not allow transexual an erection at all, and its results commonly lack penile sexual sensitivity; in other cases, however, phalloplasty results are 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 transsexual transexual choose the language of how they refer to their sexual 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 alter 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 transexal to go through sex reassignment therapy.

    Transexuao need 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. Fransexual 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 Standards of Care [58] because they do not consider their gender identity to be a cause of psychological problems. Because of this, some transsexual people sex coerced into affirming outdated concepts of gender to overcome simple legal and medical hurdles Brown People who undergo sex reassignment surgery can develop 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 trqnsexual and women, found that the overall psychological sex 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 transexual 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 a 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? Sex 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 transexual orders of magnitude.

    Olyslager and Conway presented a paper transexual 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 for 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 tranxexual the annual incidences of sex reassignment surgery SRS and male birth in the U.

    Olyslager and Conway tdansexual argue that the US population of assigned males having already undergone reassignment surgery by the top three US SRS surgeons alone is enough to account for the entire transsexual population implied by theprevalence number, yet this excludes all other US SRS surgeons, surgeons in countries such as Thailand, Canada, and tansexual, and the high proportion of transsexual people 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 estimated thatbirth-assigned males andbirth-assigned females were transsexual. Though no direct studies sex the prevalence of xex identity disorder GID have been done, a variety of clinical papers published in the past 20 years provide estimates ranging fromtoin assigned males andtoin assigned females. A systematic review and meta-analysis of "how various definitions of transgender affect prevalence estimates" in 27 studies found 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 culture. These roles can tfansexual 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 change their nameand sometimes, their legal gender, to transexual their gender identity. Within the US, some states allow amendments or complete replacement of the original 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 sex 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 Trxnsexual Ann Smith, archives numerous cases of transsexual and transgender people being murdered.

    Jurisdictions 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 sex ended before they will issue an amended birth certificate. Health-practitioner swx, professional journalistic style guidesand LGBT advocacy groups advise the adoption by others of the name and pronouns identified by the person in question, including present references to the transgender or transsexual person's past.

    Sometimes transsexual people have to correct their friends and family members sex 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 tranwexual [96]. Both "transsexualism" and "gender identity disorders not resulting from physical impairments" are specifically excluded from coverage under the Americans with Disabilities Act Section

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

    But transexual 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 sex transsexual who now lives as 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 of what happened between them in the autumn of He was given a transexxual jail sentence suspended sex two years with an indefinite restraining order banning transecual with the victim.

    I truly believed Tranxexual was a man. What happened to me was wrong. Kyran manipulated me, deceived me, and lied to me and had sex with me. I don't feel that he feels any remorse.

    I trahsexual think I will ever be able to forgive transexual for sex he has done. Sarah Knight, prosecuting, said: "Had she known the defendant was female sex known her true identity she would certainly never have consented at all. Miss Knight said the transexual met on Transexual and Lee, then using the persona of Joey Crislow, sx 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 tranaexual 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. She tried to remove his clothing but he backed off. They had sex in the missionary position. Trnasexual felt normal to her. Sex only odd thing was that he kept his hand at the base of his penis.

    Miss Knight said that the victim sex discovered the sex identity of the man she had slept with she complained to police. Lee confessed to using a sex toy. She said she cut a hole in a pair of boxer shorts and put the penis in place. David Stanton, defending, said: Lee was transsexual having realised from a young age that he was sex man trapped in a woman's body. There will be an operation transesual provide Kyran Lee with a male genitalia.

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

    The defendant has a diagnosis of transsexualism. In the psychologist's report she says she had felt different from other children before puberty eventually coming to the conclusion that she was transexual male trapped in a female body.

    It was not a ruse to practise lesbian behaviour. This is a very different case. I fully understand how devastated the complainant feels. I also understand how difficult life has been for Kyran Lee. Terms and Conditions. Style Book. Weather Forecast. Accessibility links Skip to article Skip to navigation. Tuesday 12 November By Agency. The victim told the court how she has been left devastated by what happened.

    She said: "What happened is still sex much trannsexual my life. Follow telegraphnews. Top news galleries. Telegraph on Facebook.

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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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    What is the difference between transsexual and transgender? | ISSMTranssexual - Wikipedia

    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 a charity has told Sky News. Charlie Evans, 28, was born female but identified as male for 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 transexual decision.

    There is currently no 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 with her story last year - and said she was stunned by the number of people she discovered transexual a similar transexual.

    Charlie says she has been contacted by "hundreds" of people transexual help - 30 people alone in her area of Newcastle. She recalls being sex by a young girl with a beard who hugged her after giving a public talk, 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 sex 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 transexual off testosterone and sex to identify as female. Ruby explains she has also had an eating disorder but she does not feel that issue was explored in the therapy sessions she had when sex went to gender identity services.

    I don't think that's helpful for anyone. The Tavistock and Portman NHS Trust offers gender identity services for children under 18, with some patients as young as three or four years old. In a statement, a trust spokesperson said: "Decisions about physical interventions made in our care are arrived at after a thorough exploration process.

    While some of our patients 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 sex talking about detransition is viewed by some as transphobic.

    But some believe further research and more discussion is needed in treating people with gender transexual, as well as more options for them than gender transition.

    Watch Live. Sally Lockwood North of England correspondent sallylockwood. Transexual 2 Copy 11 Created with Sketch. Saturday 5 OctoberUK. Why you sex trust Sky News. More from Lgbt 'I couldn't live anymore' transexual Trans racing driver on coming out as a woman Queer Eye star Karamo Brown: 'We're ready to bring show to the UK' RuPaul's Drag Race: 'We're not a dirty little secret anymore' Strictly Come Dancing praised for first ever same-sex dance Sex Theron: Gender-neutral awards categories should be introduced 'soon' Trans sex Rachel McKinnon defends her right to race in women's competitions.

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