Surgical procedures are also available to remove ovaries, Fallopian tubes, the uterus in trans men and make adequate changes in the chest and genitalia.
Hormone replacement therapy (HRT) is available for both trans men and trans women to promote masculine and feminine attributes respectively.
For example, someone born male may not feel much, if any, connection to what his culture has defined as being "masculine" and may instead strongly identify with what is typically defined as being "feminine." Some transgender people's sense of difference is so strong that they identify as transsexual and believe their assigned sex at birth was wrong and that their correct sex is one that aligns with their internal feelings.
They often have a deep desire to alter their physical appearance until it better matches their gender identity; two common methods of doing this include sex reassignment therapy and/or surgery.
Unfortunately, in mainstream discussions (as well as within certain segments of the trans community), the word “transgender” is increasingly (mis)used to specifically refer to people who identify and live as members of the gender other than the one they were assigned at birth — that is, people who have historically been described as transsexual.
Some people who fall under this category don’t like the label “transsexual” (just as some don’t like “transgender”), but I will be using it here because the distinction between people who socially and/or physically transition (i.e., transsexuals), and those transgender-spectrum individuals who don’t transition, is germane to this conversation.
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While this can include medical or social transition, it may not.