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Transsexualism is a condition in which a person identifies with a physical sex different from the one that they were born with or assigned in cases where ambiguity of the child’s sex organs led to assigning them a physical sex. Transsexualism is considered a taboo subject in many parts of the world and has become more widely known in Western nations in the late 20th century due to the sexual revolution, but remains a highly controversial topic.
Most transsexual men and women desire to establish a permanent social role as a member of the gender with which they identify. Many transsexual people also desire various types of medical alterations to their bodies. These physical alterations are collectively referred to as sex reassignment therapy and often include hormone replacement therapy and surgery. The entire process of switching from one physical sex and social gender presentation to the other is often referred to as transition, and usually takes several years.
To obtain sex reassignment therapy, transsexual people are usually required to receive psychological therapy and a diagnosis of gender identity disorder in accordance with the Standards of Care (SOC) as issued by the World Professional Association for Transgender Health.
Paradoxically, a growing number of post-operative transsexuals are scathing about their medical care. International research suggests that 3-17% of them come to regret switching gender..
For both men and women, medical treatment typically begins with hormone replacement therapy. Transwomen are usually required to live as members of their target sex for at least one year prior to genital surgery (so-called Real-Life Test or Real-Life Experience), although this time may be longer if the psychotherapist has concerns about the transsexual person’s readiness. Transmen must generally wait two to three years after beginning testosterone treatment in order to allow for sufficient clitoral growth.
Currently, the causes of transsexualism are unknown, and estimates of prevalence vary substantially. It is commonly believed that it is a multifactorial condition, having many and different causes, some of which may include a naturally occurring variation in fetal sex differentiation and development. Causes may include some medications or hormones given to pregnant mothers..
Transsexualism (also known as transsexuality) is a complex condition that is defined differently by different people. Many terms have been proposed through the years to describe transsexual people and the processes they go through.
The definition of “transsexuality” is somewhat debated. One common definition is that a transsexual is a person who believes that his or her body does not reflect his or her true ‘inner’ identification of physical sex or gender. Another common definition is that a transsexual is a person who has had or plans to have medical or surgical treatments that alter his or her body to better reflect what the individual believes is his or her true gender.
The two terms of sex and gender have become popularly used as one concept, which blurs distinction, but they have different meanings. Physical sex refers more to one’s biology and anatomy (that is, male or female) where gender is a more socio-cultural term of how a person presents or is taken distinctive to the sexes. That is to say, gender is to sex as feminine is to female and masculine is to male.
Transsexualism has been variously described as a trait, disease, behavior, desire, mental illness, perversion, paraphilia, political identity, and lifestyle.
As a general rule, transsexual people tend to dress and behave in a manner consistent with the gender they identify with, crossdressers tend to dress (and sometimes behave) in a manner consistent with stereotypical ideals of the opposite gender as opposed to the real-life behavior of that gender, and “drag queens” or “drag kings” tend to dress and behave in a flamboyant manner which parodies rather than emulates the opposite gender.
Transsexual people almost universally prefer to be referred to by the gender pronouns and terms associated with their target gender. For example, a transsexual man is a person who was assigned the female sex at birth on the basis of his genitals, but despite that assignment identifies as a man and is transitioning or has transitioned to a male gender role and has or will have a masculine body. Transsexual people are sometimes referred to with “assigned-to-target” sex terms such as “female-to-male” for a transsexual man or “male-to-female” for a transsexual woman.
These terms may be abbreviated as “M2F”, “F2M”, “MTF”, “F to M”, etc…
The transsexual community typically use the short form “trans“, or simply “T” as a substitution for the full word “transsexual”, e.g. TS, trans guy, trans dyke, T-folk, trans folk.
Some may even use terms that have become controversial to some, such as tranny and/or trans (trans 2 sex .com!)… 
Some individuals may prefer to spell transsexual with only one s, thus writing transexual.
Some prefer the term transsexed over transsexual, as they believe the term sexual found in transsexual is misleading and implies that transsexualism is a sexual orientation.
While the above gives a fairly comprehensive view of terminology, it is important to note that some people may feel that both ‘trans‘ and ‘sexual‘, are misleading, and others may take objections to terminology that are unique to their perspective.
Causes of transsexualism.
Many psychological causes for transsexualism have been proposed, while research has been presented to suggest that the cause of transsexualism has its roots in biology. Other transsexual individuals and professionals believe that transsexualism is, in fact, a syndrome with a physiological basis as a form of intersexuality. Studies indicate that transsexualism is connected with a difference in the human brain called the bed nucleus of the stria terminalis.
Legal and social aspects transsexualism.
Many Western societies have procedures whereby an individual can change their name, and sometimes, their legal gender, to reflect their gender identity (see Legal aspects of transsexualism). Laws regarding changes to the legal status of transsexuals are different from country to country. Within the US, some state jurisdictions do allow amendments or complete replacement of the original birth certificates. Some jurisdictions may even seal earlier records against all but court orders in order to protect the transsexual’s privacy.
However, transsexual and transgender people challenge the “normative” gender roles of many cultures and often face considerable hatred and prejudice.
After transsexual men and women are living full-time as members of their target gender, they may wish to blend in with other members of their new sex, and will avoid revealing their past. This behaviour, known as stealth, is recognized by most people in the transsexual community as an individual decision that one must make.
Some draw a parallel with a perceived need for lesbian and gay people to “come out”, and may perceive a failure to do so as betrayal of a greater community, seeing hope for advancement of civil rights and public image in the visibility of greater numbers.
Although many transsexual people are modest about their bodies, and are found in all walks of life and professions, transsexual women are commonly featured in pornographic works. When depicted without having undergone vaginoplasty, they are usually referred to as “shemales“.
Thailand is thought to have the highest prevalence of transsexualism in the world.
Due to the relative prevalence and acceptance of transsexualism in Thailand, there are many accomplished Thai surgeons who are specialized in sex reassignment surgery. Thai surgeons are a popular option for Western transpeople seeking surgery, largely due to the lower cost of surgery in Thailand. Transsexual people are gaining acceptance in much of Latin America, and sex reassignment surgeries are on the rise in Mexico, Argentina and Brazil.
Transgender-related issues remain largely taboo in much of Africa and in developing countries around the world..
From Wikipedia, the free encyclopedia
