Transgender people have a gender identity or gender expression that differs "Transsexuals population" their assigned sex. Transgender is also an umbrella term: Being transgender is independent of 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. Most transgender people face discrimination in the workplace  and in accessing public accommodations,  and healthcare. Oliven of Columbia University coined the term transgender in his reference Sexual Hygiene and Pathologywriting that the term which had previously been used, transsexualism"is misleading; actually, 'transgenderism' Transsexuals population meant, because sexuality is not a major factor in primary Transsexuals population. Bythe concept of a "transgender community" had developed, in which transgender was used as an umbrella term.
A Movement Whose Time has Come", circulated inidentified transgender as a term to unify all forms of gender nonconformity; in this way transgender has become synonymous with queer. 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These terms have now been superseded by " trans man " and " trans woman ", respectively, and the terms "trans-masculine" or "trans-feminine" are increasingly in use.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 Transsexuals population 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 Transsexuals population pay for medical treatments or who have institutional coverage for their treatment Transsexuals population 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 "Transsexuals population," 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 in 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 "Transsexuals population" transsexuals and transvestites, called the Sex Orientation Scale SOSin which he assigned transsexuals and transvestites to one of Transsexuals population 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. In addition to trans men and trans women whose binary gender identity is the opposite of their assigned "Transsexuals population," and who form the core of the transgender umbrella, being included in even the narrowest definitions of it, several other groups are included in broader definitions of the term.
These include people whose gender identities are not exclusively masculine or feminine but may, for example, be androgynousbigenderpangenderor agender —often grouped under the alternative umbrella term genderqueer  —and third-gender people alternatively, some references and some societies conceptualize transgender people as a third gender.
Genderqueer or non-binary identities, which are not exclusively masculine or feminine but instead may be agenderandrogynous, bigender, pangenderor genderfluid exist outside of cisnormativity.
Limited forms of androgyny common women wearing pants, men wearing earrings and are not seen as transgender behavior.
Androgyne is also sometimes used as a medical
Transsexuals population for an intersex person.
A transvestite is a person who cross-dressesTranssexuals population dresses in clothes typically associated with the gender opposite the one they were assigned "Transsexuals population" birth.
Gilbertprofessor at the Department of Philosophy, York UniversityToronto, offers this definition: These individuals are cross 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 describes those who intermittently use clothing of the opposite gender for fetishistic purposes.
Drag is a term applied to clothing and makeup worn on special occasions for performing or Transsexuals population, 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 to describe drag queens or people who engage in transvestism or cross-dressing; however, this "Transsexuals population" 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 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 "Transsexuals population" 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 "Transsexuals population" way than as gender-variant people in their own right.
Today, members of the transgender community often continue to struggle to remain part of the movement as lesbian, gay, and bisexual people and to be included in rights protections.
In addition, the role of the transgender community in the history of LGBT rights is Transsexuals population overlooked, as shown in Transforming History.
Most mental health professionals recommend therapy for internal conflicts about Transsexuals population 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 ICD is debated. France removed gender identity disorder as a diagnosis by decree in  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 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 Transsexuals population 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
Transsexuals population suffer from GID. Moreover, GID is not necessarily
Transsexuals population 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 opinion of immorality; the psychological establishment holds that people with
Transsexuals population kind of mental or emotional problem should not receive stigma. The solution for GID is whatever will alleviate suffering and restore 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 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
Transsexuals population order to meet the diverse health care needs of transsexual, transgender, and all gender-nonconforming people.
The reasons for seeking mental health
Transsexuals population 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: 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 Transsexuals population 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 training: Most therapists—Master's degree, PhD level—they've had. One class out of the huge diversity training. And it was probably mostly about gay lifestyle. The issues around psychological classifications and 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 Transsexuals population 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. 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 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 Transsexuals population excess hair for trans women. Surgical procedures for trans women feminize the voiceskin
Transsexuals population, faceadam's applebreastswaistbuttocksand genitals.
Surgical procedures for trans men masculinize the chest and genitals and remove the wombovaries, and fallopian Transsexuals population. 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 androstenedioneTranssexuals population 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 Transsexuals population which allow individuals to
Transsexuals population their legal gender or name to reflect their gender identity. Requirements for these procedures 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 that the civil status law must allow a third gender option.
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 "Transsexuals population" 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 Transsexuals population 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 being 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 Transsexuals population 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. Sexual assault, including molestation, rape, forced anal and oral sex, gang rape and stripping is being committed with impunity and there are reliable statistics and materials to support such activities.
Further, access to public toilets is also a serious problem they face quite often. More recently, population surveys have suggested
Transsexuals population much higher and increasing incidence of transgender identity in adults and. Transsexual (less commonly transexual) people experience a gender identity that is . surgery by the top three US SRS surgeons alone is enough to Transsexuals population for the entire transsexual population implied by theprevalence number.