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An internal sense of being male, female, both, or neither, which may not align with the sex assigned at birth.

: Advocates fight for gender-affirming care—including hormones and therapy—which major health organizations recognize as essential healthcare. naked latino shemales

: The term "transgender" emerged in the 1960s to distinguish gender identity from sexual orientation. It replaced older, often stigmatizing terms like "transsexual" or "transvestite" to become the preferred umbrella term. An internal sense of being male, female, both,

: "Trans" is an accepted shorthand, while "Queer" has been widely reclaimed by younger generations as a positive, inclusive label for the whole community. Cultural Competence in the Care of LGBTQ Patients - NCBI An internal sense of being male

People who do not identify strictly as male or female; this is a common identity within the trans umbrella.