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Transsexual
Transsexual people experience a gender identity that is inconsistent with their assigned sex, and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (including sex reassignment therapies, such as hormone replacement therapy and sex reassignment surgery) to help them align their body with their identified sex or gender. The term ''transsexual'' is a subset of ''transgender'', but some transsexual people reject the label of ''transgender''. A medical diagnosis of gender dysphoria can be made if a person experiences marked and persistent incongruence between their experienced their personal sense of their own and their assigned sex. Understanding of transsexuality has changed very quickly in the 21st century. Many 20th century medical beliefs and practices around transsexuality are now considered deeply outdated. It was once classified as a mental disorder and subject to extensive gatekeeping by the medical est ...
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Transgender
A transgender (often abbreviated as trans) person is someone whose gender identity or gender expression does not correspond with their sex assigned at birth. Many transgender people experience dysphoria, which they seek to alleviate through transitioning, often adopting a different name and set of pronouns in the process. Additionally, they may undergo sex reassignment therapies such as hormone therapy and sex reassignment surgery to more closely align their primary and secondary sex characteristics with their gender identity. Not all transgender people desire these treatments, however, and others may be unable to access them for financial or medical reasons. Those who do desire to medically transition to another sex may identify as transsexual. ''Transgender'' is an umbrella term. In addition to trans men and trans women, it may also include people who are non-binary or genderqueer. Other definitions of ''transgender'' also include people who belong to a third gender, ...
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The Transsexual Phenomenon
''The Transsexual Phenomenon'' is a medical textbook published by American endocrinologist and sexologist Harry Benjamin in 1966 with The Julian Press. The text is notable for its examination of transsexualism not as a psychological issue, but rather as a somatic disorder that should be treated through medicine. Benjamin argues that transvestism and transsexuality are a spectrum of conditions, requiring different treatments that ranged from hormone replacement therapy to surgical intervention (such as castration). When initially published, the book was met with a mixed reception but would be later known as the "transsexuals' Bible", a standard for trans care in the medical community. Benjamin and his work (and specifically this text) are credited with the popularization of the term transsexual in medicine. However, some trans scholars argue that the book created many harmful stereotypes still perpetuated by the medical community today, such as the idea that trans people are "born ...
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Genital Reassignment Surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and alleviate gender dysphoria. The term is also sometimes used to describe surgical intervention for intersex people. It is also known as sex reassignment surgery (SRS), gender confirmation surgery (GCS), and several other names. Professional medical organizations have established Standards of Care, which apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender. Feminization surgeries are surgeries that result in anatomy that is typically gendered female, such as vaginoplasty and breast augmentation, whereas masculinization surgeries are those that result in anatomy that is typically gendered male, such as phalloplasty and breas ...
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Sex Reassignment Surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and alleviate gender dysphoria. The term is also sometimes used to describe surgical intervention for intersex people. It is also known as sex reassignment surgery (SRS), gender confirmation surgery (GCS), and several other names. Professional medical organizations have established Standards of Care, which apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender. Feminization surgeries are surgeries that result in anatomy that is typically gendered female, such as vaginoplasty and breast augmentation, whereas masculinization surgeries are those that result in anatomy that is typically gendered male, such as phalloplasty and ...
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Gender Identity
Gender identity is the personal sense of one's own gender. Gender identity can correlate with a person's assigned sex or can differ from it. In most individuals, the various biological determinants of sex are congruent, and consistent with the individual's gender identity. Gender expression typically reflects a person's gender identity, but this is not always the case. While a person may express behaviors, attitudes, and appearances consistent with a particular gender role, such expression may not necessarily reflect their gender identity. The term ''gender identity'' was coined by psychiatry professor Robert J. Stoller in 1964 and popularized by psychologist John Money. In most societies, there is a basic division between gender attributes assigned to males and females, a gender binary to which most people adhere and which includes expectations of masculinity and femininity in all aspects of sex and gender: biological sex, gender identity, and gender expression. Some peopl ...
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Sex Reassignment Therapy
Sex reassignment therapy or medical transition is the medical aspect of gender transition, that is, modifying one's sex characteristics to better suit one's gender identity. It can consist of hormone therapy to alter secondary sex characteristics, sex reassignment surgery to alter primary sex characteristics, and other procedures altering appearance, such as permanent hair removal for trans women. In appropriately evaluated cases of severe gender dysphoria, sex reassignment therapy is often the best when standards of care are followed. There is academic concern over the low quality of the evidence supporting the efficacy of sex reassignment therapy as treatment for gender dysphoria, but more robust studies are impractical to carry out; however, there exists a broad clinical consensus, supplementing the academic research, that supports the effectiveness in terms of subjective improvement of sex reassignment therapy in appropriately selected patients. Treatment of gender ...
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Gender Dysphoria
Gender dysphoria (GD) is the distress a person experiences due to a mismatch between their gender identitytheir personal sense of their own genderand their sex assigned at birth. The diagnostic label gender identity disorder (GID) was used until 2013 with the release of the diagnostic manual DSM-5. The condition was renamed to remove the stigma associated with the term ''disorder''. People with gender dysphoria commonly identify as transgender. Gender nonconformity is not the same thing as gender dysphoria and does not always lead to dysphoria or distress. The causes of gender incongruence are unknown but a gender identity likely reflects genetic, biological, environmental, and cultural factors. Treatment for gender dysphoria may include supporting the individual's gender expression or their desire for hormone therapy or surgery. Treatment may also include counseling or psychotherapy. Some researchers and transgender people support declassification of the condition becaus ...
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Benjamin Scale
The Sex Orientation Scale (SOS) was Harry Benjamin's attempt to classify and understand various forms and subtypes of transvestism and transsexualism in biological males, published in 1966.Benjamin, Harry (1966). ''The Transsexual Phenomenon.'' The Julian Press, It was a seven-point scale (with three types of transvestism, three types of transsexualism, and one category for typical males); it was analogous to the Kinsey Scale as it relates to sexual orientation, which also had seven categories.Pomeroy, Wardell (1975). The diagnosis and treatment of transvestites and transsexuals. ''Journal of Sex & Marital Therapy'' Volume 1, Issue 3, 1975 doi:10.1080/00926237508405291 Much like Kinsey's understanding of sexual orientation, Benjamin understood the nature of gender identity and gender expression not as a discrete scale, but as a spectrum, a continuum with many variations. However the Benjamin scale does not reflect a modern understanding of gender identity and is not useful as a cont ...
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Christine Jorgensen
Christine Jorgensen (May 30, 1926 – May 3, 1989) was an American trans woman who was the first person to become widely known in the United States for having sex reassignment surgery. She had a career as a successful actress, singer and recording artist. Jorgensen was drafted into the U.S. Army during World War II. After her service as a military clerical worker Christine pursued a photography career, attended several schools, and worked. It was during this time she learned about sex reassignment surgery and traveled to Europe, where in Copenhagen, Denmark, she obtained special permission to undergo a series of operations beginning in 1952. Upon her return to United States in the early 1950s, her transition was the subject of a ''New York Daily News'' front-page story. She became an instant celebrity, known for her directness and polished wit, and used the platform to advocate for transgender people. Jorgensen often lectured on the experience of being transgender and p ...
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Harry Benjamin
Harry Benjamin (January 12, 1885 – August 24, 1986) was a German-American endocrinologist and sexologist, widely known for his clinical work with transgender people. Early life and career Benjamin was born in Berlin, and raised in a German Lutheran home. His mother was German and his father at least part-Jewish in ancestry. After premed education in Berlin and Rostock, he joined a regiment of the Prussian Guard. He received his doctorate in medicine in 1912 in Tübingen for a dissertation on tuberculosis. Sexual medicine interested him, but was not part of his medical studies. In a 1985 interview he recalled: Benjamin visited the United States in 1913, to work with a quack doctor who claimed to have found a cure for tuberculosis. The liner in which Benjamin was returning to Germany was caught mid-Atlantic both by the outbreak of the First World War in 1914, and the Royal Navy. Given the choice of a British internment camp, as an "enemy alien", or returning to New York, he ...
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David Oliver Cauldwell
David Oliver Cauldwell (June 17, 1897 – August 30, 1959) was a prolific and pioneering sexologist, who coined the term transsexual as used in its current definition. Many of his monographs on sex, psychology, or health were published by Emanuel Haldeman-Julius in such forms as Big Blue Books. He was the editor of Sexology magazine's question and answer department. Cauldwell and Harry Benjamin were "two early and important American voices on transsexuality". Biography He was born on June 17, 1897 in Cleveland, Ohio to Gilbert Cauldwell, a surgeon; and Virginia Oliver-Wright. Cauldwell reports himself as having had an interest in sexual anatomy since his childhood. He studied medicine at the Chester College of Medicine and Surgery (later merged with Loyola University Chicago) and at Universidad Nacional Autónoma de México. After several years as a private general practitioner, Cauldwell became an Associate Medical Officer of the Department of War, and as a contract surgeon fo ...
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Transgender Hormone Therapy
Transgender hormone therapy, also called hormone replacement therapy (HRT) or gender-affirming hormone therapy (GAHT), is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender or gender nonconforming individuals for the purpose of more closely aligning their secondary sexual characteristics with their gender identity. This form of hormone therapy is given as one of two types, based on whether the goal of treatment is masculinization or feminization: * Masculinizing hormone therapy – for transgender men or transmasculine people; consists of androgens and antiestrogens. * Feminizing hormone therapy – for transgender women or transfeminine people; consists of estrogens and antiandrogens. Some intersex people may also undergo hormone therapy, either starting in childhood to confirm the sex they were assigned at birth, or later in order to align their sex with their gender identity. Non-binary people may also engage in ...
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