Explore the concepts of sex and gender and the different ways people experience them.By Mayo Clinic Staff
Want to better understand what it means to be transgender? Here's a primer on the basics, as well as the definitions of common terms used to describe gender identity.
The word "transgender" encompasses more than you might realize. It covers a range of gender identities and expressions that might fall outside of the idea that all people can be classified as only one of two genders — male or female (gender binary).
Transgender is an umbrella term used to capture the spectrum of gender identity and gender-expression diversity. Gender identity is the internal sense of being male, female, neither or both. Gender expression — often an extension of gender identity — involves the expression of a person's gender identity through social roles, appearance and behaviors.
People who are transgender include:
- Those who have a gender identity that differs from the sex assigned to them at birth
- Those whose gender expression — the way gender is conveyed to others through clothing, communication, mannerisms and interests — and behavior don't follow stereotypical societal norms for the sex assigned to them at birth
- Those who identify and express their gender fluidly outside of the gender binary, which might or might not involve hormonal or surgical procedures
The relationship between gender identity and sexual orientation
Being transgender doesn't say or imply anything about a person's sexual orientation — physical and emotional attraction or sexual behavior. Sexual orientation is an inherent component of every individual. A person's sexual orientation can't be assumed based on gender identity or gender expression.
Aug. 31, 2017
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- Erickson-Schroth L, ed. Disabilities and deaf culture. In: Trans Bodies, Trans Selves: A Resource for the Transgender Community. New York, N.Y.: Oxford University Press; 2014.
- Feldman J, et al. Primary care of transgender individuals. https://www.uptodate.com/contents/search. Accessed Aug. 15, 2017.
- AskMayoExpert. Transgender health. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
- Makadon HJ, et al. Creating a foundation for improving trans health: Understanding trans identities and health care needs. In: Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health. 2nd ed. Philadelphia, Pa.: American College of Physicians; 2015.
- Gender dysphoria. American Psychiatric Association DSM-5 Development. https://www.psychiatry.org/psychiatrists/practice/dsm/diagnostic-and-coding-clinic/coding-updates. Accessed Nov. 16, 2016.
- James SE, et al. The report of the 2015 U.S. transgender survey. National Center for Transgender Equality. http://www.ustranssurvey.org/report. Accessed April 18, 2017.
- Gonzalez CA (expert opinion). Mayo Clinic, Kasson, Minn. May 10, 2017.