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: Affirming one's gender can involve social changes (name, pronouns, clothing) or medical interventions (hormone therapy, surgery), though not all trans people pursue medical transition.

: "Transgender" is an umbrella term for people whose gender identity—their internal sense of being male, female, or something else—differs from the sex they were assigned at birth. free teen shemales free

: This spectrum includes binary trans men and women, as well as non-binary, genderqueer, agender, and genderfluid individuals. : Affirming one's gender can involve social changes

: Gender identity is distinct from sexual orientation; trans people can identify as straight, gay, lesbian, bisexual, or asexual. Global and Indian Cultural Contexts Cultural Competence in the Care of LGBTQ Patients - NCBI clothing) or medical interventions (hormone therapy