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== Terminology == {{Further|Transgender#Terminology}} [[File:BrianMichaelGLAAD18.jpg|alt=A handsome Black man in a blue suit standing in front of an awards ceremony backdrop.|thumb|[[Brian Michael Smith]], award-winning actor]] [[File:Elliot Page 2021.png|alt=A thin, white man gazing at the camera, wearing a black hoodie, with a snowy background.|thumb|[[Elliot Page]], Canadian actor and producer]] [[File:Elliot Fletcher.jpg|thumb|[[Elliot Fletcher]], American actor]] [[File:Thomas Beatie på Stockholm Pride 2011.JPG|thumb|[[Thomas Beatie]], an American public speaker, author, and advocate for transgender [[reproductive rights]]|alt=A smiling young man of white, Korean, and Filipino descent, standing at a podium, gesturing with one hand.]] The [[umbrella term]] {{wt|en|trans}}{{efn|occasionally spelled {{Wt|en|trans*}}, using the asterisk ({{code|*}}) as a [[wildcard character]]}} is a shortening of both ''[[transgender]]'' and ''[[transsexual]]'', and describes anyone whose gender identity does not align with their [[assigned sex]]. The term ''transsexual'' originated in the medical and psychological communities, and is generally considered a subset of ''[[transgender]]'', although the two are not always interchangeable. It predominantly describes people with medically diagnosed [[gender dysphoria]], and who desire to permanently transition to the opposite [[sex]] via [[sex reassignment therapy]]. Many trans people prefer the labels ''transgender'' or ''trans'', considering them more inclusive and less stigmatizing.<ref name="Polly">{{cite journal |last1=Polly |first1=Ryan |last2=Nicole |first2=Julie |date=March 2011 |title=Understanding transsexual patients: culturally sensitive care in emergency nursing practice |url=https://pubmed.ncbi.nlm.nih.gov/21317698/ |url-status=live |journal=[[Advanced Emergency Nursing Journal]] |volume=33 |issue=1 |pages=55–64 |doi=10.1097/TME.0b013e3182080ef4 |pmid=21317698 |archive-url=https://web.archive.org/web/20220311010934/https://pubmed.ncbi.nlm.nih.gov/21317698/ |archive-date=2022-03-11 |access-date=2022-05-14 |quote=The use of terminology by transsexual individuals to self-identify varies. As aforementioned, many transsexual individuals prefer the term transgender, or simply trans, as it is more inclusive and carries fewer stigmas. There are some transsexual individuals, however, who reject the term transgender; these individuals view transsexualism as a treatable congenital condition. Following medical and/or surgical transition, they live within the binary as either a man or a woman and may not disclose their transition history. |s2cid=2481961}}</ref><ref name="Swanson">A Swenson, ''Medical Care of the Transgender Patient'', in ''Family Medicine'' (2014): "While some transsexual people still prefer to use the term to describe themselves, many transgender people prefer the term transgender to transsexual."</ref> However, others, such as [[Buck Angel]], reject the label of ''transgender''.<ref>{{cite web |date=March 2014 |title=Transsexualism |url=http://www.gendercentre.org.au/ |archive-url=https://web.archive.org/web/20160304090430/http://www.gendercentre.org.au/resources/fact-sheets/transsexualism.htm |archive-date=2016-03-04 |access-date=2016-07-05 |website=Gender Centre |quote=Transsexualism is often included within the broader term 'transgender', which is generally considered an umbrella term for people who do not conform to typically accepted gender roles for the sex they were assigned at birth. The term 'transgender' is a word employed by activists to encompass as many groups of gender diverse people as possible. However, many of these groups individually don't identify with the term. Many health clinics and services set up to serve gender variant communities employ the term, however most of the people using these services again don't identify with this term. The rejection of this political category by those that it is designed to cover clearly illustrates the difference between self-identification and categories that are imposed by observers to understand other people.}}</ref><ref>{{Cite tweet|number=1115768669798141952|user=BuckAngel|title=Transsexual is my identity and where I came from. [...] Transgender does not represent me.|date=Apr 9, 2019}}</ref> The [[GLAAD]] media reference guide advises against describing people as ''transsexual'', except for individuals who explicitly identify as such.<ref name="glaad.org2">{{cite news |date=22 February 2022 |title=GLAAD Media Reference Guide – Transgender Terms |url=https://www.glaad.org/reference/trans-terms |access-date=4 June 2022 |website=[[GLAAD]]}}</ref> ''[[Transmasculine]]'' (sometimes clipped to {{Wt|en|transmasc}}) is a broader term for all trans individuals with predominantly masculine identities or [[gender expression]], and includes trans men as well as [[non-binary]] people who were [[assigned female at birth]] and may have an identity that is partially masculine but not entirely male.<ref name="pmid271839782">{{cite journal |last1=MacDonald |first1=Trevor |author-link1=Trevor Kirczenow |last2=Noel-Weiss |first2=Joy |last3=West |first3=Diana |author-link3=Diana West (lactation consultant) |last4=Walks |first4=Michelle |last5=Biener |first5=MaryLynne |last6=Kibbe |first6=Alanna |last7=Myler |first7=Elizabeth |date=16 May 2016 |title=Transmasculine individuals' experiences with lactation, chestfeeding, and gender identity: a qualitative study |journal=BMC Pregnancy and Childbirth |volume=16 |issue=1 |page=106 |doi=10.1186/s12884-016-0907-y |pmc=4867534 |pmid=27183978 |doi-access=free }}</ref><ref>{{cite web |title=Definition of transmasculine |url=http://www.dictionary.com/browse/transmasculine |access-date=8 September 2016 |website=Dictionary.com}}</ref> The alternate spelling {{Wt|en|transman}} is sometimes used interchangeably. However, like {{Wt|en|transwoman}}, it is often associated with [[Transphobia|trans-exclusionary]] views which hold that trans men are distinct from men, and thus require a separate word to describe them.<ref name="Lopez">German Lopez, ''[https://www.vox.com/2015/2/18/8055691/transgender-transgendered-tnr Why you should always use "transgender" instead of "transgendered"]'', ''Vox'', February 18, 2015</ref> For this reason many transgender people find the spelling offensive.<ref name="Lopez" /> Another common term for trans men is '''female-to-male''' ('''FTM''' or '''F2M'''),<ref>{{cite journal |last1=Swann |first1=William B. |author-link1=William Swann |last2=Gómez |first2=Ángel |last3=Vázquez |first3=Alexandra |last4=Guillamón |first4=Antonio |last5=Segovia |first5=Santiago |last6=Carillo |first6=Beatriz |date=10 February 2015 |title=Fusion with the Cross-Gender Group Predicts Genital Sex Reassignment Surgery |journal=Archives of Sexual Behavior |volume=44 |issue=5 |pages=1313–1318 |doi=10.1007/s10508-014-0470-4 |pmid=25666854 |s2cid=3261825}}</ref> but this is considered outdated by some, in part because it [[Sex–gender distinction|confuses sex and gender]], or because someone may be nonbinary and lie somewhere on the spectrum between the two extremes, neither of which accurately describes them.<ref name="Bourns-2022">{{cite book |language=en |editor1-last=Bourns |editor1-first=Amy |editor2-last=Kucharski |editor2-first=Edward |date=2022 |title=Caring for LGBTQ2S People: A Clinical Guide |edition=2nd |publisher=University of Toronto Press |isbn=9781487515256 |oclc=1280275165 |url=https://books.google.com/books?id=P4ltEAAAQBAJ&pg=PT21}}</ref>
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