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Explore the meaning of 'transgender', its history, usage, and the distinctions between related terms. Understand who falls under the transgender umbrella and when to seek medical guidance.
The term transgender is an adjective used to describe a person whose gender identity or gender expression differs from the sex they were assigned at birth. It’s important to understand that being transgender is not a choice, a phase, or a mental illness. It is a fundamental aspect of a person’s identity. For many, the journey of understanding their gender identity is a process of self-discovery, much like how anyone might grow and develop a deeper understanding of themselves over time. For some individuals, this self-understanding leads to the realization that the gender they were assigned at birth does not align with their true gender identity.
The word transgender, often shortened to trans, is an umbrella term that encompasses a wide range of gender identities and expressions. It does not specify what a person’s gender is, only that it is different from the sex assigned at birth. The prefix ‘trans’, derived from Latin, means ‘across from’ or ‘the other side of’. This contrasts with the prefix ‘cis’, which means ‘on the same side’ or ‘the same as’. Therefore, a cisgender person is someone whose gender identity aligns with the sex they were assigned at birth.
While the specific term ‘transgender’ gained prominence in the latter half of the 20th century, the concept of gender diversity and individuals who identify outside the binary of assigned sex has existed across cultures and throughout history. Indigenous, Western, and Eastern cultures have all had their own understandings and expressions of gender, which have varied greatly over time and place.
The transgender umbrella is broad, including many different gender identities and expressions. This means that individuals who identify as transgender may transition to genders that are not exclusively male or female, or they may experience a mix of genders at different times. All these experiences fall under the transgender umbrella.
The first recorded use of the word “transgender” appeared in the book “Sexual Hygiene and Pathology” by John F. Oliven, MD, in 1965. However, the concept and lived experiences of gender diversity predate the formalization of the term.
It is crucial to use the term transgender correctly. It functions as an adjective, similar to how ‘short’, ‘tall’, ‘young’, or ‘old’ are used. For instance, one would say ‘a short woman’ rather than ‘a short’. Similarly, when referring to individuals in the transgender community, it is appropriate to say ‘transgender people’ or ‘the transgender community’, rather than referring to someone as ‘a trans’ or ‘a transgender’.
A trans woman is a woman who identifies as female but was assigned male at birth. Similarly, a trans man is a man who identifies as male but was assigned female at birth. While some individuals may use older initialisms like ‘MTF’ (male-to-female) or ‘FTM’ (female-to-male), it is important to use the terms that individuals prefer and to remember that these terms describe their gender identity, not their physical characteristics.
It is essential to approach discussions about gender identity with respect and sensitivity. Focusing on a person’s gender identity is paramount, rather than making assumptions based on perceived physical attributes.
The term transsexual is often considered outdated by many, including the American Psychological Association. While some individuals may still identify with this term, it is generally recommended to use transgender unless an individual specifically requests to be identified as transsexual. Using outdated or non-consensual terminology can be disrespectful and invalidating.
It is also important to distinguish between being gender nonconforming and being transgender. Gender nonconforming refers to individuals whose gender expression or behavior does not align with the typical gendered standards of their culture. This can include how someone dresses, behaves, or expresses themselves. While some transgender individuals may also be gender nonconforming, not all gender nonconforming individuals are transgender. Gender nonconformity is about outward expression, whereas transgender identity is about an internal sense of self.
While being transgender is not a medical condition, some individuals may seek medical support as part of their transition process. This can include hormone therapy, gender-affirming surgeries, or mental health support. If you are exploring your gender identity and considering medical transition, it is advisable to consult with healthcare professionals who specialize in transgender healthcare. They can provide accurate information, support, and guidance tailored to your individual needs. This may include:
Open and honest communication with healthcare providers is key to ensuring safe and effective care. Remember, your journey is unique, and seeking professional guidance can be a vital step in affirming your identity.

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