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With the DSM-5 , transsexualism 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.

Twin studies suggest that there are likely genetic causes of transsexuality, although the precise genes involved are not fully understood.

Ray Blanchard created a taxonomy of male-to-female transsexualism that proposes two distinct etiologies for androphilic and gynephilic individuals that has become 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 characteristics , sex reassignment surgery such as orchiectomy to alter primary sex characteristics , chest surgery such as top surgery or breast augmentation , or, in the case of trans women, a trachea shave , facial 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 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 [55] [58] 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 experience , 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 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, or 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 own 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 phalloplasty , which is typically very expensive, not covered by 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, and its results commonly lack penile sexual sensitivity; in other cases, however, phalloplasty results are satisfying for trans men.

By contrast, metoidioplasty , which is more popular, is significantly less expensive and has far better sexual results.

Transsexual people can be heterosexual, gay, lesbian, or bisexual; many choose the language of how they refer to their sexual orientation based on their gender identity, not their birth assigned sex.

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 [55] note that sometimes the only reasonable and effective course of treatment for transsexual people is to go through sex reassignment therapy.

The need for treatment of transsexual people is emphasized by the high rate of mental health problems, including depression , anxiety , and various addictions , as 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 Standards of Care [55] because they do not consider their gender identity to be a cause of psychological problems.

Because of this, some transsexual people feel 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 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, or , people.

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?

A study of Swedes estimated an incidence of transsexualism of 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 [75] 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 of , male-to-female transsexual people and , female-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 compare the annual incidences of sex reassignment surgery SRS and male birth in the U.

Olyslager and Conway also 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 the , prevalence number, yet this excludes all other US SRS surgeons, surgeons in countries such as Thailand, Canada, and others, and the high proportion of transsexual people who have not yet sought treatment, suggesting that a prevalence of , is too low.

A study of the number of New Zealand passport holders who changed the sex on their passport estimated that , birth-assigned males and , birth-assigned females were transsexual.

Though no direct studies on the prevalence of gender identity disorder GID have been done, a variety of clinical papers published in the past 20 years provide estimates ranging from , to , in assigned males and , to , in 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 per , population 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 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 change their name , and sometimes, their legal gender, to reflect 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 and prejudice.

The film Boys Don't Cry chronicles the case of Brandon Teena , a transsexual man who was raped and murdered after his status was discovered.

The project Remembering Our Dead , founded by Gwendolyn 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 be ended before they will issue an amended birth certificate.

Health-practitioner manuals, professional journalistic style guides , and 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 many times before they begin to use the transsexual person's desired pronouns consistently.

According to Julia Serano , deliberate mis-gendering of transsexual people is "an arrogant attempt to belittle and humiliate trans people" [91].

Both "transsexualism" and "gender identity disorders not resulting from physical impairments" are specifically excluded from coverage under the Americans with Disabilities Act Section Openly transsexual people can have difficulty maintaining employment.

Most find it necessary to remain employed during transition in order to cover the costs of living and transition. However, employment discrimination against trans people is rampant and many of them are fired when they come out or are involuntarily outed at work.

Other stresses that transsexual people face in the workplace are being fearful of coworkers negatively responding to their transition, and losing job experience under a previous name—even deciding which rest room to use can prove challenging.

Laws regarding name and gender changes in many countries make it difficult for transsexual people to conceal their trans status from their employers.

In many countries, laws provide protection from workplace discrimination based on gender identity or gender expression, including masculine women and feminine men.

An increasing number of companies are including "gender identity and expression" in their non-discrimination policies.

California 's anti-discrimination laws protect transsexual persons in the workplace and specifically prohibit employers from terminating or refusing to hire a person based on their transsexuality.

Many transsexual men and women choose to live completely as members of their gender without disclosing details of their birth-assigned sex.

This approach is sometimes called stealth. Transsexualism was discussed in the mass media as long ago as the s. The American magazine Time in devoted an article to what it called " hermaphrodites ", treating the subject with sensitivity and not sensationalism.

Christine Jorgensen was a transgender woman who received considerable attention in American mass media in the s. Jorgensen was a former G. Her story appeared in publications including Time and Newsweek.

Other representations of transgender women appeared in mainstream media in the s and s, such as Delisa Newton , Charlotte McLeod, Tamara Rees, and Marta Olmos Ramiro, but Jorgensen received the most attention.

Her story was sensationalized, but received positively. Before transsexual people were depicted in popular movies and television shows, Aleshia Brevard —a transsexual whose surgery took place in [] : 3 —was actively working as an actress [] : and model [] : in Hollywood and New York throughout the s and '70s.

Aleshia never portrayed a transsexual person, though she appeared in eight Hollywood-produced films, on most of the popular variety shows of the day, including The Dean Martin Show , and was a regular on The Red Skelton Show and One Life to Live before returning to university to teach drama and acting.

Thomas Harris 's Silence of the Lambs included a serial killer who considered himself a transsexual.

After being turned down for sex reassignment surgery due to not meeting necessary psychological evaluations, he then harvested female bodies to make a feminine suit.

In the novel, it is noted that the character is not actually a transsexual; this distinction is made only briefly in the film. The film Different for Girls is notable for its depiction of a transsexual woman who meets up with, and forms a romantic relationship with, her former best friend from her all-male boarding school.

Ma Vie en Rose portrays a six-year-old child who is gender variant. When the main character is conflicted about falling in love with a "woman who is also a man", Guitar Wolf tells him "Love knows no race, nationality or gender!

Although Better Than Chocolate is primarily about the romance of two lesbians, a subplot in the Canadian film has Judy Peter Outerbridge , a trans woman with a crush on Frances Ann-Marie MacDonald , the owner of a lesbian bookstore.

The film has a few scenes showing how Judy loses her parents, who are unable to accept her and buy her off with a home as a goodbye forever present.

Southern Comfort is a documentary by filmmaker Katie Davis, which follows the final months of the life of Robert Eads , a transsexual man living in Georgia.

Eads was diagnosed with ovarian cancer and rejected for treatment by over two dozen doctors due to his transsexuality. The documentary follows Eads and several of his closest friends, a support group of transsexual southerners known as "Southern Comfort".

Two notable films depict transphobic violence based on true events: Soldier's Girl about the relationship between Barry Winchell and Calpernia Addams , and Winchell's subsequent murder and Boys Don't Cry about Brandon Teena 's murder.

Calpernia Addams has appeared in numerous movies and television shows, including the movie Transamerica , in which Felicity Huffman portrays a transsexual woman.

In fall , the Sundance Channel aired a documentary series known as TransGeneration. This series focused on four transsexual college students, including two trans women and two trans men, in various stages of transition.

Transsexual people have also been depicted in popular television shows. In part of the first season of the s t. In Just Shoot Me!

After initially being frightened, he eventually forms sexual attraction to his friend, but is scorned, as he is 'not her type'.

In an episode of Becker Dr. Becker gets an out-of-town visit from an old friend who turns out to have undergone SRS, it plays out very similar to the situations in Just Shoot Me!

In a s episode of The Love Boat , McKenzie Phillips portrays a trans woman who is eventually accepted as a friend by her old high school classmate, series regular Fred Grandy.

There's Something About Miriam was a reality television show. It featured six men wooing year-old Mexican model Miriam without revealing that she was a pre-operative trans woman until the final episode.

She died on 20 January Since , with the goal of crowning the top transsexual of the world, a beauty pageant by the name of The World's Most Beautiful Transsexual Contest was held in Las Vegas , Nevada.

The pageant accepted pre-operation and post-operation trans women, but required proof of their gender at birth. The winner of the pageant was a woman named Mimi Marks.

Jenna Talackova , the year-old woman who forced Donald Trump and his Miss Universe Canada pageant to end its ban on transgender contestants, competed in the pageant on May 19, in Toronto.

On Saturday, January 12, , Kylan Arianna Wenzel was the first transgender woman allowed to compete in a Miss Universe Organization pageant since Donald Trump changed the rules to allow women like Wenzel to enter officially.

Miss Wenzel was the first transgender woman to compete in a Miss Universe Organization pageant since officials disqualified year-old Miss Canada Jenna Talackova the previous year after learning she was transgender.

Trans communities in various countries hold several events annually; in the United States, the most prominent are the Transgender Day of Remembrance held every year on November 20, and the Trans March , one of three protests held in San Francisco, California during "Pride Weekend", the last weekend of June.

All About Trans is an organization in the UK whose goal is to influence and improve media professionals' understanding and portrayal of transsexual people.

They do this by connecting media outlets with members of the transsexual community throughout the UK in order to foster a greater sensitivity toward this group of people.

Transgender At Work TAW is an organization with a focus on addressing issues in the workplace for transsexual individuals.

Its goal is to allow transsexual employees to work productively without feeling as if they must hide an essential part of themselves.

This includes addressing such issues as transsexual individuals being excluded from employer health care on the basis of their transsexuality. Transsexual teen gangbanged outdoors.

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I think we should invite a shemale into our bedroom 16 min Curious Porn Pass - k Views -. Big hard cock for a sexy transsexual 6 min Qiselamuw - Remember that the negative connotations of the word transsexual vary from person to person and culture to culture.

If a particular culture, community, or individual experiences and uses the word transsexual as a respectful and authentic descriptor, then it can be used in that particular situation or context.

These terms are also commonly associated with instances of discrimination, harassment, mistreatment, and misunderstanding. The word someone uses to describe their gender can be a private and sensitive topic.

If you want to learn more about gender labels such as transgender and transsexual, check out these articles:. Education about different gender labels can be an important part of exploration, self-discovery, and supporting loved ones.

Mere Abrams is a researcher, writer, educator, consultant, and licensed clinical social worker who reaches a worldwide audience through public speaking, publications, social media meretheir , and gender therapy and support services practice onlinegendercare.

Mere uses their personal experience and diverse professional background to support individuals exploring gender and help institutions, organizations, and businesses to increase gender literacy and identify opportunities to demonstrate gender inclusion in products, services, programs, projects, and content.

Words can unconsciously undermine transgender and nonbinary people, so being conscious of our words and their affect is so important.

Society typically tells us that there are two sexes, male and female, and that they align with two genders, man and woman. With the increased….

Cissexism operates as a subtle web of ideas that many people hold based on the assumption that all people are cisgender. Because this assumption is so….

Here's what you should know about what pronouns to use and when. You may have heard the term "deadnaming" before, but what exactly does this mean?

Here's what you should know and why it matters. Tips for pregnant trans and nonbinary folks seeking quality, compassionate healthcare.

Drinking enough water can help you burn fat and increase your energy levels. This page explains exactly how much water you should drink in a day.

Excess stress is a common problem for many people. Learn effective ways to relieve stress and anxiety with these 16 simple tips.

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