The New England Journal of Medicine
Mark A. Schuster, M.D., Ph.D., Sari L. Reisner, Sc.D., and Sarah E. Onorato, B.A.
From the Division of General Pediatrics, Boston Children’s Hospital (M.A.S., S.L.R., S.E.O.), the Department of Pediatrics, Harvard Medical School (M.A.S., S.L.R.), the Department of Epidemiology, Harvard T.H. Chan School of Public Health (S.L.R.), and the Fenway Institute, Fenway Health (S.L.R.) — all in Boston.
One might have to go back to the era of racial desegregation of U.S. bathrooms to find a time when toilets received so much attention. Recently, several states have debated or passed legislation requiring people to use the public bathroom corresponding to their sexBiological attributes and legal categories used to classify humans as male, female, intersex or other categories, primarily associated with physical and physiological features including chromosomes, genetic expression, hormone levels and function, and reproductive/sexual anatomy. as “identified at birth” or “stated on a person’s birth certificate.” [^1], [^2] Some supporters of these laws have focused on the fear that maleA sex, usually assigned at birth, and based on chromosomes (e.g. XY), gene expression, hormone levels and function, and reproductive/sexual anatomy (e.g. penis, testicles). stalkers will claim to be transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
women in order to victimize girls and women in restrooms. Others have expressed vitriol and revulsion toward transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people, describing them as “sexual predators,” “voyeurs,” and “pedophiles.” Although transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people have been characterized as dangerous, it is transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people who have generally been the victims of verbal harassment and physical assaults when trying to use public bathrooms.
Opposition to the recent legislation has been strong in some sectors, with businesses, performers, and states voicing objections and canceling planned expansions, concerts, and government-sponsored travel. At the federal level, the Obama administration filed a lawsuit against North Carolina, asserting that the state’s Public Facilities Privacy and Security Act violates federal law. It also issued a letter outlining the legal obligation of public schools to allow transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
students to use bathrooms that correspond to their gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
. Eleven states have sued the administration over this directive.
Although these issues may ultimately be decided under civil rights law, bathrooms matter for health. Transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people who are barred from using bathrooms where they feel safe might feel they have no choice but to suppress basic bodily needs. Delayed bathroom use can cause health problems including urinary tract or kidney infections, stool impaction, and hemorrhoids. Some transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people even abstain from drinking during the day to avoid the need to urinate.
When transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people are physically assaulted in public bathrooms, they may suffer bruises, broken bones, or worse. In addition, the ongoing fear of harassment and violence when using public bathrooms can take a toll on mental health. More broadly, laws like North Carolina’s send a message that transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people are not welcome in workplaces or schools, reinforcing the stigma, bias, and fear that fuel discrimination against transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people.
Transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people have a gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
that does not match their sexBiological attributes and legal categories used to classify humans as male, female, intersex or other categories, primarily associated with physical and physiological features including chromosomes, genetic expression, hormone levels and function, and reproductive/sexual anatomy. assigned at birth, which is generally based on anatomical observation. Gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
refers to an internal sense of oneself as being maleA sex, usually assigned at birth, and based on chromosomes (e.g. XY), gene expression, hormone levels and function, and reproductive/sexual anatomy (e.g. penis, testicles)., femaleA sex, usually assigned at birth, and based on chromosomes (e.g. XX), gene expression, hormone levels and function, and reproductive/sexual anatomy (e.g. vagina, uterus)., or outside these two categories (see table). Although representative studies of transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people are rare, one estimate suggests that approximately 700,000 U.S. adults are transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
. [^3]
Visibility of transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people and support for transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
rights have increased dramatically in recent years. Media portrayals, once dominated by killers and comic stereotypes, are becoming more common, diverse, and authentic. In 2015, a total of 375 Fortune 500 companies prohibited discrimination on the basis of gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
, up from 15 in 2002. Nineteen states and the District of Columbia include gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
in employment nondiscrimination laws.
Despite these shifts, transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people still face substantial discrimination. Beyond bathroom accessibility, discrimination is associated with increased stress, anxiety, depressive symptoms, post-traumatic stress disorder, substance abuse, and suicide. It is also associated with increased risk of bullying, verbal harassment, sexual assault, and nonsexual violence, as well as decreased health care utilization. Discrimination and its consequences are often most pronounced for those whose gender expression• Refers to the ways in which people externally communicate their gender identity to others through behaviour, clothing, haircut, voice, and other forms of presentation. Gender expression also works the other way as people assign gender to others based on their appearance, mannerisms, and other gendered characteristics. Sometimes, transgender people seek to match their physical expression with their gender identity, rather than their birth-assigned sex. Gender expression should not be viewed as an indication of sexual orientation.
• How one outwardly shows gender; including through name and pronoun choice, style of dress, voice modulation.
(how one expresses oneself in terms of culturally defined masculineDescribes socially and culturally constructed aspects of gender (e.g. roles, behaviour, expression, identity) typically associated with boys and men. or feminineDescribes socially and culturally constructed aspects of gender (e.g. roles, behaviour, expression, identity) typically associated with girls and women. appearance, clothing, and mannerisms) does not fit traditional, binary male-female categories, such as a person assigned femaleA sex, usually assigned at birth, and based on chromosomes (e.g. XX), gene expression, hormone levels and function, and reproductive/sexual anatomy (e.g. vagina, uterus). sexBiological attributes and legal categories used to classify humans as male, female, intersex or other categories, primarily associated with physical and physiological features including chromosomes, genetic expression, hormone levels and function, and reproductive/sexual anatomy. at birth who is taking hormonesChemical substances that control and regulate the activity of certain cells or organs; see also: sex hormones. and has grown a beard but has not undergone breast removal surgery.
Gender• However gender is far more complicated. It is the complex interrelationship between an individual’s sex (gender biology), one’s internal sense of self as male, female, both or neither (gender identity) as well as one’s outward presentations and behaviours (gender expression) related to that perception, including their gender role. Together, the intersection of these three dimensions produces one’s authentic sense of gender, both in how people experience their own gender as well as how others perceive it.
• Gender is expressed in terms of masculinity and femininity. It is largely culturally determined and is assigned at birth based on the sex of the individual. It affects how people perceive themselves and how they expect others to behave.
• Socially and culturally constructed roles, behaviours, expressions and identities of girls, women, boys, men, and trans people.
affirmation — having one’s gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
acknowledged and accepted in social, legal, and other settings — can greatly enhance overall psychological health. The health care community can promote gender• However gender is far more complicated. It is the complex interrelationship between an individual’s sex (gender biology), one’s internal sense of self as male, female, both or neither (gender identity) as well as one’s outward presentations and behaviours (gender expression) related to that perception, including their gender role. Together, the intersection of these three dimensions produces one’s authentic sense of gender, both in how people experience their own gender as well as how others perceive it.
• Gender is expressed in terms of masculinity and femininity. It is largely culturally determined and is assigned at birth based on the sex of the individual. It affects how people perceive themselves and how they expect others to behave.
• Socially and culturally constructed roles, behaviours, expressions and identities of girls, women, boys, men, and trans people.
affirmation through clinical care, research, and advocacy. But there are challenges. Most clinicians lack expertise in transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
health, some resist treating transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
patients, and some make prejudiced and abusive statements. The 2008-2009 U.S. National Transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
Discrimination Survey revealed that 28% of transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
adults experienced harassment in medical settings, 19% reported being refused care, and 28% postponed care because of discrimination; 50% of those who received care reported having to teach their clinicians about transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
care.[^4]
Transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people need clinicians who can provide proper health care [^5]. Clinicians can actively support their health by addressing the risk of verbal and physical assault, helping with emotional challenges related to disclosing gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
to family and friends, and discussing medical options for gender• However gender is far more complicated. It is the complex interrelationship between an individual’s sex (gender biology), one’s internal sense of self as male, female, both or neither (gender identity) as well as one’s outward presentations and behaviours (gender expression) related to that perception, including their gender role. Together, the intersection of these three dimensions produces one’s authentic sense of gender, both in how people experience their own gender as well as how others perceive it.
• Gender is expressed in terms of masculinity and femininity. It is largely culturally determined and is assigned at birth based on the sex of the individual. It affects how people perceive themselves and how they expect others to behave.
• Socially and culturally constructed roles, behaviours, expressions and identities of girls, women, boys, men, and trans people.
affirmation (e.g., hormone therapy). They can support people who express a gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
different from their sexBiological attributes and legal categories used to classify humans as male, female, intersex or other categories, primarily associated with physical and physiological features including chromosomes, genetic expression, hormone levels and function, and reproductive/sexual anatomy. assigned at birth, as well as their families, who may be confused and scared. Clinicians can also learn to address health care needs related to a person’s anatomy regardless of gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
(e.g., Pap tests for a transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
manA human being who self-identifies as a man, based on elements of importance to the individual, such as gender roles, behaviour, expression, identity, and/or physiology. who has a cervix).
Medical offices and hospitals can welcome transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
patients by, for example, adopting inclusive intake procedures and asking about gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
on registration forms. Clinicians can ask patients which pronounsThe pronouns an individual uses in reference to them, such as she or he, they, ze, or the person’s name. (Gender (Free) For All). to use when referring to them and how to conduct a physical exam in a manner that will be most comfortable for them. If a clinician has not been trained to provide care to a particular group of patients, working with those patients can be intimidating. Education on providing health care for transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
patients can be integrated into clinical training at all levels.
Clinicians need to provide care to their patients using the best available knowledge. Although there are guidelines, protocols, and other resources covering health care to transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people, a 2011 Institute of Medicine report recommended investment in more research on transgender-specific health needs. Open questions span topics from basic demographics and development to long-term effects of hormone therapy. There is more to be learned about general health as well as specific issues such as cancer risk, mental health, aging, and how best to support young people whose gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
doesn’t match their sexBiological attributes and legal categories used to classify humans as male, female, intersex or other categories, primarily associated with physical and physiological features including chromosomes, genetic expression, hormone levels and function, and reproductive/sexual anatomy. assigned at birth. This field needs skilled researchers, funding, and transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
communities open to partnering with researchers and participating in studies. Demographic and descriptive research would benefit from the inclusion of gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
in population-based surveys. Further development of methods for identifying transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people through surveys and claims data would enhance this work.
The medical community can continue to play a crucial role in advocacy, providing a key voice in legislative hearings and amicus briefs. Doctors, particularly psychiatrists, have been asked repeatedly to weigh in on the mental health of transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people and on bathroom use and other controversies. In 2013, the American Psychiatric Association (APA) revised its guidelines to indicate that being transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
is not a mental disorder and that gender-affirming treatments are a valid focus of care for people who desire them; the APA has included gender dysphoria• An anxiety, uncertainty or persistently uncomfortable feelings experienced by an individual about their assigned gender which is in conflict with their internal gender identity.
• Gender dysphoria is a medical condition in which a person has been assigned one gender at birth but identifies as another gender, or does not conform to the gender role society ascribes to them. Gender dysphoria is not related to sexual orientation. Gender dysphoria has replaced gender identity disorder as the word disorder is seen as stigmatising.
• A person with gender dysphoria can experience anxiety, uncertainty or persistently uncomfortable feelings about their gender assigned at birth. This dysphoria may lead to a fear of expressing their feelings or of rejection and in some cases deep anxiety or chronic depression. It is effectively treated using methods such as counselling, hormone replacement therapy, surgery or simply social transition.
• Distress resulting from a difference between a person’s gender and the person’s assigned sex, associated gender role, and/or primary and secondary sex characteristics.
in its guidelines partly to cover people who have substantial distress or impairment and to ensure access to and coverage of desired medical interventions and treatments. The American Medical Association and other medical societies have called on clinicians to provide treatment to all patients regardless of gender identity• One’s innermost concept of self as male or female or both or neither – how individuals perceive themselves and what they call themselves. One’s gender identity can be the same or different than the sex assigned at birth. Individuals are conscious of this between the ages 18 months and 3 years. Most people develop a gender identity that matches their biological sex. For some, however, their gender identity is different from their biological or assigned sex. Some of these individuals choose to socially, hormonally and/or surgically change their sex to more fully match their gender identity.
• The gender to which one feels one belongs.
• Internal and psychological sense of oneself as a woman, a man, both, in between, or neither.
and have advocated for insurance coverage of health care services for transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people. In April 2016, the American Academy of Pediatrics repudiated North Carolina’s public-facilities law. Physicians should not underestimate their ability to educate and reassure people who are misinformed and unaware or afraid of the unknown.
Establishing legal protection for transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people in the United States may take time. Eliminating the need for such protection will no doubt take much longer. But being transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
, like being left-handed, may someday be recognized as merely another inherent human quality, no longer conferring a need for protection. In the meantime, the health care community can better address transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
health needs, help ensure that transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
people feel safe in seeking health care, promote resilience in the face of prejudice, and expand our knowledge of how best to promote transgender• Sometimes used as an umbrella to describe anyone whose identity or behaviour falls outside of stereotypical gender norms. More narrowly defined, it refers to an individual whose gender identity does not match their assigned birth gender. Being transgender does not imply any specific sexual orientation (attraction to people of a specific gender). Therefore, transgender people may additionally identify with a variety of other sexual identities as well.
• An umbrella term used to include transsexual people, transvestites and cross-dressers, as in “the transgender community.”
• This is an umbrella term that applies to anyone who does not feel that their gender identity (e.g., identifying as male, female, or other) matches their anatomical/bio- logical sex.
• An umbrella term for people whose gender identity and/or expression differs from that of their sex assigned at birth. Transgender people may or may not alter their bodies to better fit with their gender identity through means such as hormones or surgery. Some intersex people identify as transgender but the two are not the same. Identities such as transsexual or transvestite are distinct sub-categories of transgender and should not be used as synonyms. Should only be used as an adjective e.g. ‘transgender people’. The word “Transgendered” is used by some people but its use is discouraged.
health and well-being.
See the article, and read the comments, on NEJM.org
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