Transgender people have a gender identity or gender expression that differs from their assigned sex. Transgender is also an umbrella term: Being transgender is independent of sexual...
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Transsexual less commonly transexual  inhabitants experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex , and desire to permanently transition to the gender with which they identify, most of the time seeking medical assistance including hormone replacement therapy and other union reassignment therapies to help them align their body with their identified sex or gender.
Transsexual is a subset of transgender ,    but some transsexual people reject the label of transgender. Norman Haire reported that in ,  Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld Herself, which ended in with a successful genital reassignment surgery.
In , Hirschfeld supervised the repeated genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.
In Sui generis, Hirschfeld introduced the German relationship "Transsexualismus",  after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and Cauldwell appears to be the first to use the term to refer to those who desired a change of physiological sex.
True transsexuals texture that they belong to the other sex, they want to be and function as divisions of the opposite sex, not only to appear as such. For them, their sex organs, the primary testes as correctly as the secondary penis and others are disgusting deformities that must be changed by the surgeon's knife.
Benjamin suggested that moderate intensity male to female transsexual people may benefit from estrogen medication as a "substitute for or preliminary to affair. Beyond Benjamin's work, which focused on male-to-female transsexual people, there are cases of the female to male transsexual, for whom genital surgery may not be practical. Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical having it away, that is to say, the body, is male. Their mental sex, that is to communicate, the mind, is female.
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