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These terms describe people who do not identify exclusively as a man or a woman. Their gender may be a mix of both, neither, or change over time.

The transgender community is a diverse group of individuals whose gender identity or expression differs from the sex they were assigned at birth. While often grouped under the LGBTQ+ umbrella due to shared histories of social and legal marginalization, transgender identity is distinct because it describes gender rather than sexual orientation. Understanding Gender Identity extreme shemale tgp

Despite growing visibility, the community faces significant systemic obstacles: Cultural Competence in the Care of LGBTQ Patients - NCBI These terms describe people who do not identify