Trans woman

Last updated

Mela Habijan, the 2020 winner of the Miss Trans Global contest Trans Global 2020 Official Shoot.jpg
Mela Habijan, the 2020 winner of the Miss Trans Global contest

Transgender women (often shortened to trans women) are women who were assigned male at birth. Trans women have a female gender identity and may experience gender dysphoria (distress brought upon by the discrepancy between a person's gender identity and their sex assigned at birth). [1] Gender dysphoria may be treated with gender-affirming care.

Contents

Gender-affirming care may include social or medical transition. Social transition may involve changes such as adopting a new name, hairstyle, clothing style, and/or set of pronouns associated with the individual's affirmed gender identity. [2] A major component of medical transition for trans women is feminizing hormone therapy, which causes the development of female secondary sex characteristics (breasts, redistribution of body fat, lower waist–hip ratio, etc.). This, along with socially transitioning, and receiving desired gender-affirming surgeries can relieve the person of gender dysphoria. [3] [4] Like cisgender women, trans women may have any sexual orientation.

Trans women face significant discrimination in many areas of life—including in employment and access to housing—and face physical and sexual violence and hate crimes, including from partners. In the United States, discrimination is particularly severe towards trans women who are members of a racial minority, who often face the intersection of transmisogyny and racism.

The term transgender women is not always interchangeable with transsexual women, although the terms are often used interchangeably. Transgender is an umbrella term that includes different types of gender variant people (including transsexual people).

Terminology

Transgender (commonly abbreviated as trans) [5] is an umbrella term for people whose gender identity or gender expression are different from those typically associated with members of the sex they were assigned at birth. [6] Transgender women, sometimes called male-to-female (MTF, M2F), are those who were assigned the male sex at birth (AMAB), but who identify and live as women. [7]

Trans women may also be short for transsexual women. Transsexual is a subset of transgender, [8] [9] referring to people who desire to medically transition to the sex with which they identify, usually through sex reassignment therapies, such as hormone replacement therapy and sex reassignment surgery, to align their body with their identified sex or gender. The term is rejected by some as outdated, though others within the trans community still identify as transsexual. [10]

Transfeminine (or transfemme ) is a broader umbrella term for assigned-male trans individuals with a predominantly feminine identity or gender expression. This includes trans women, but is used especially for AMAB non-binary people, who may have an identity that is partially feminine, but not wholly female. [11]

The spelling transwoman (written as a single word) is occasionally used interchangeably with trans woman (where trans is an adjective describing a kind of woman). However, this variant is often associated with views (notably gender-critical feminism) that exclude trans women from women, and thus require a separate word to describe them. [12] For this reason, many transgender people find the spelling offensive. [12] [13] Some prefer to omit trans, and be called simply women. [10]

In several Latin American countries, the word travesti is sometimes used to designate people who have been assigned male sex at birth, but develop a female gender identity. The use of travesti precedes transgender in the region; its distinction from trans woman is controversial and can vary depending on the context, ranging from considering it a regional equivalent to a third gender. [14] [15]

In Thailand, kathoey refers to a trans-feminine individual, though the term "transgender" is infrequently used to refer to those with this identity. [16] The term is sometimes translated to "ladyboy" in English. [17] Most trans-feminine Thai individuals simply referred to themselves as women, or phuying praphet song, meaning "another type of woman." [18]

Amongst Native Hawaiians and Tahitians, māhū are people of a third gender who possess spiritual and social roles. [19] The term has historically been applied to people assigned male at birth, but now may refer to a large variety of gender identities. [20] The term is sometimes seen as disparaging or a pejorative, similar to faggot . [21]

Sexuality

Trans women vary greatly in terms of sexual orientation. [22] [23] [24] [25] A survey of roughly 3,000 American trans women showed 31% of them identifying as bisexual, 29% as "gay/lesbian/same-gender", 23% as heterosexual, 7% as asexual, as well as 7% identifying as "queer" and 2% as "other". [26] A 12-month survey of trans women in Europe found that 22% identified as heterosexual, 10% were attracted almost exclusively to men, 3% were mostly attracted to men, 9% were bisexual, 7% were mostly attracted to women, 23% were almost attracted exclusively to women, and 20% were lesbian. A smaller 2013 study of Italian trans women found that 82% identified as heterosexual. [27]

The European study found that sexual orientation did not change over the 12 months. [28] A 2018 study found that the most common sexual partner for trans women was cisgender women prior to transitioning. Trans women who had been for transitioning for ten years or more were more likely to report a shift in their sexual orientation. [29]

In a 2008 study, no statistically significant difference in libido was detected between trans women and cisgender women. [30] As in males, female libido is thought to correlate with serum testosterone levels [31] [32] [33] [34] (with some controversy) [35] but the 2008 study found no such correlation in trans women. [30] [36] Another study, published in 2014, found that 62.4% of trans women reported their sexual desire had decreased after sexual reassignment therapy. [37]

Healthcare

Gender-affirming care

Gender-affirming care for trans women may include feminizing hormone therapy, transgender voice therapy, and gender-affirming surgery (often referring to vaginoplasty, but may also include tracheal shave, orchiectomy, facial feminization surgery, breast augmentation, and vulvoplasty). [38]

Feminizing hormone therapy

Feminizing hormone therapy is a type of hormone therapy focused on turning the secondary sex characteristics of a person from masculine to feminine. Feminizing hormone therapy often includes a mix of estrogens, antiandrogens, progestogens, and gonadotropin-releasing hormone modulator, [1] [39] though the most common approach is an estrogen in combination with an antiandrogen. [40] [41] Feminizing hormone therapy can induce effects including breast development, softening of the skin, redistribution of body fat towards a gynoid fat distribution, decreased muscle mass/strength, and changes in mood.

Feminizing voice therapy

Some trans women may seek to feminize their voice through transgender voice therapy, as hormone therapy does not significantly affect the voice of trans women. The aim of voice therapy (in the context of transitioning) is frequently to change the fundamental frequency, resonant frequency, and phonatory pattern to reflect that of cisgender women. [42] This can be accomplished through speech therapy, or surgeries (including feminization laryngoplasty). Throughout multiple studies, voice therapy has generally been shown to increase vocal satisfaction of the patient and a greater listener perception of a feminine voice. [43] [44]

Gender-affirming surgery

Trans women may undergo a variety of gender-affirming surgeries as part of their transition process. These surgeries may include vaginoplasty, vulvoplasty, orchiectomy, breast augmentation, and facial feminization surgery. [45]

Fertility

While the relationship is not completely understood, [46] feminizing hormone therapy appears to reduce the ability to produce sperm. [47] Individuals who have been on hormone therapy for an extended period of time have been shown to have a lower total sperm count than males not on hormone therapy. [48] Cessation of hormone replacement therapy has been associated with a renewed level of fertility. [49] [50]

Tucking is also associated with lower quality sperm production because of the increased temperature of the testicles, causing premature sperm death. [51] [52] [53]

Trans women may elect to undergo fertility preservation through semen cryopreservation via masturbation or testicular sperm extraction. [46]

Discrimination

Transmisogynistic graffiti in Springfield, Missouri Transphobic Graffito.jpg
Transmisogynistic graffiti in Springfield, Missouri

Like all gender variant people, trans women often face discrimination and transphobia, [26] : 8  particularly those who are not perceived as cisgender. [54] A 2015 survey from The Williams Institute found that, of 27,715 transgender respondents, 52% whose families had rejected them attempted suicide, as did 64.9% of those who were physically attacked in the past year. [55]

A 2011 survey of roughly 3000 trans women living in the United States, as summarized in the report "Injustice at Every Turn: A Report of the National Transgender Discrimination Survey", found that trans women reported that: [26] [ specify ]

The American National Coalition of Anti-Violence Programs' report of 2010 anti-LGBTQ violence found that of the 27 people who were murdered because of their LGBTQ identity, 44% were trans women. [56] Discrimination is particularly severe towards non-white trans women, who experience the intersection of racism and transphobia.

In her book Whipping Girl , trans woman Julia Serano refers to the unique discrimination trans women experience as "transmisogyny". [57]

Discrimination against trans women has occurred at the Michigan Womyn's Music Festival after the Festival set out a rule that it would only be a space for cisgender females. This led to protests by trans women and their allies, and a boycott of the Festival by Equality Michigan in 2014. The boycott was joined by the Human Rights Campaign, GLAAD, the National Center for Lesbian Rights, and the National LGBTQ Task Force. The "womyn-born-womyn" intention first came to attention in 1991 after a transsexual festival-goer, Nancy Burkholder, was asked to leave the festival when several women recognized her as a trans woman and expressed discomfort with her presence in the space. [58] [59]

Violence towards trans women

A group of Argentine travestis carrying the coffin of their murdered friend, August 1987 Cortejo funebre travesti.jpg
A group of Argentine travestis carrying the coffin of their murdered friend, August 1987

Trans women face a form of violence known as trans bashing. The Washington Blade reported that Global Rights, an international NGO, tracked the mistreatment of trans women in Brazil, including at the hands of the police. [60] To commemorate those who have been murdered in hate crimes, an annual Transgender Day of Remembrance is held in various locations across the United States, Canada, Western Europe, Australia, and New Zealand, with details and sources for each murder provided at their website. [61]

United States

According to a 2009 report by the National Coalition of Anti-Violence Programs, quoted by the Office for Victims of Crime, 11% of all hate crimes towards members of the LGBTQ community were directed towards trans women. [62]

According to Trans Murder Monitoring, between Oct 1, 2022 and September 30, 2023, 321 trans and gender-diverse individuals were killed, with trans women or trans-feminine individuals accounting for 94% of the deaths. [63]

In 2015, a false statistic was widely reported in the United States media stating that the life expectancy of trans women of color is only 35 years. [64] This appears to be based on a comment specifically about Latin America in a report by the Inter-American Commission on Human Rights, which compiled data on the age at death of murdered trans women for all of the Americas (North, South, and Central), and does not disaggregate by race. [64] [65] [66]

In 2016, 23 transgender people suffered fatal attacks in the United States. The Human Rights Campaign report found some of these deaths to be direct results of an anti-transgender bias, and some due to related factors such as homelessness. [67]

One type of violence towards trans women is committed by perpetrators who learn that their sexual partner is transgender, and feel deceived ("trans panic"). Almost 95% of these crimes were committed by cisgender men towards trans women. [68] According to a 2005 study in Houston, Texas, "50% of transgender people surveyed had been hit by a primary partner after coming out as transgender". [62]

Media representation

Laverne Cox plays Sophia Burset, a lead trans woman on Orange is the New Black Laverne Cox by Sachyn Mital cropped.jpg
Laverne Cox plays Sophia Burset, a lead trans woman on Orange is the New Black

Trans representation in television, film, news, and other forms of media was slim before the 21st century. Early mainstream accounts and fictional depictions of trans women almost always relied on common tropes and stereotypes. [69] However, portrayals have steadily grown and improved in tandem with activism.

In the 2020 film Disclosure: Trans Lives on Screen , director Sam Feder explores Hollywood's history of trans representation and the cultural effects of such depictions. Many notable 21st century trans actresses and celebrities shared their stories in the film, including Laverne Cox, Alexandra Billings, Jamie Clayton, AJ Clementine, and more. [70]

Some famous trans women in television include Laverne Cox (playing Sophia Burset on Orange is the New Black), Hunter Schafer (playing Jules Vaughn in Euphoria ), Josie Totah, and Caitlyn Jenner (from Keeping Up with the Kardashians ). [71] [72] Pose, an American television show, depicts the lives of several trans women. [73]

See also

Related Research Articles

Gender dysphoria (GD) is the distress a person experiences due to a mismatch between their gender identity—their personal sense of their own gender—and their sex assigned at birth. The term replaced the previous diagnostic label of gender identity disorder (GID) in 2013 with the release of the diagnostic manual DSM-5. The condition was renamed to remove the stigma associated with the term disorder. The International Classification of Diseases uses the term gender incongruence instead of gender dysphoria, defined as a marked and persistent mismatch between gender identity and assigned gender, regardless of distress or impairment.

The word cisgender describes a person whose gender identity corresponds to their sex assigned at birth, i.e., someone who is not transgender. The prefix cis- is Latin and means on this side of. The term cisgender was coined in 1994 as an antonym to transgender, and entered into dictionaries starting in 2015 as a result of changes in social discourse about gender. The term has been and continues to be controversial and subject to critique.

<span class="mw-page-title-main">Transphobia</span> Anti-transgender prejudice

Transphobia consists of negative attitudes, feelings, or actions towards transgender people or transness in general. Transphobia can include fear, aversion, hatred, violence or anger towards people who do not conform to social gender roles. Transphobia is a type of prejudice and discrimination, similar to racism, sexism, or ableism, and it is closely associated with homophobia. People of color who are transgender experience discrimination above and beyond that which can be explained as a simple combination of transphobia and racism.

Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their identified gender. The phrase is most often associated with transgender health care and intersex medical interventions, though many such treatments are also pursued by cisgender and non-intersex persons. It is also known as sex reassignment surgery (SRS), gender confirmation surgery (GCS), and several other names.

The following outline is provided as an overview of and topical guide to transgender topics.

<span class="mw-page-title-main">Trans man</span> Man assigned female at birth

A trans man is a man who was assigned female at birth. Trans men have a male gender identity, and many trans men undergo medical and social transition to alter their appearance in a way that aligns with their gender identity or alleviates gender dysphoria.

Masculinizing gender-affirming surgery for transgender men or transmasculine non-binary people includes a variety of surgical procedures that alter anatomical traits to provide physical traits more comfortable to the trans man's male identity and functioning.

Feminizing Gender-affirming surgery for transgender women or transfeminine non-binary people describes a variety of surgical procedures that alter the body to provide physical traits more comfortable and affirming to an individual's gender identity and overall functioning.

Gender transition is the process of affirming and expressing one's internal sense of gender, rather than the gender assigned to them at birth. It is the recommended course of treatment for individuals struggling with gender dysphoria, providing improved mental health outcomes in the majority of people.

Gender dysphoria in children (GD), also known as gender incongruence of childhood, is a formal diagnosis for distress caused by incongruence between assigned sex and gender identity in some pre-pubescent transgender and gender diverse children.

The American-Canadian sexologist Ray Blanchard proposed a psychological typology of gender dysphoria, transsexualism, and fetishistic transvestism in a series of academic papers through the 1980s and 1990s. Building on the work of earlier researchers, including his colleague Kurt Freund, Blanchard categorized trans women into two groups: homosexual transsexuals who are attracted exclusively to men and are feminine in both behavior and appearance; and autogynephilic transsexuals who experience sexual arousal at the idea of having a female body. Blanchard and his supporters argue that the typology explains differences between the two groups in childhood gender nonconformity, sexual orientation, history of sexual fetishism, and age of transition.

Gender incongruence is the state of having a gender identity that does not correspond to one's sex assigned at birth. This is experienced by people who identify as transgender or transsexual, and often results in gender dysphoria. The causes of gender incongruence have been studied for decades.

<span class="mw-page-title-main">Transgender sexuality</span> Sexuality of transgender people

Sexuality in transgender individuals encompasses all the issues of sexuality of other groups, including establishing a sexual identity, learning to deal with one's sexual needs, and finding a partner, but may be complicated by issues of gender dysphoria, side effects of surgery, physiological and emotional effects of hormone replacement therapy, psychological aspects of expressing sexuality after medical transition, or social aspects of expressing their gender.

In the context of gender, passing is when a person is perceived as a gender by which they identify or as which they are attempting to be seen. Historically, this was common among women who served in occupations where women were prohibited, such as in combat roles in the military. For transgender people, it is when the person is perceived as cisgender instead of the sex they were assigned at birth. For example, a transgender man is passing if he is perceived as a cisgender man.

Feminizing hormone therapy, also known as transfeminine hormone therapy, is hormone therapy and sex reassignment therapy to change the secondary sex characteristics of transgender people from masculine or androgynous to feminine. It is a common type of transgender hormone therapy and is used to treat transgender women and non-binary transfeminine individuals. Some, in particular intersex people, but also some non-transgender people, take this form of therapy according to their personal needs and preferences.

<span class="mw-page-title-main">Transgender</span> Gender identity other than sex assigned at birth

A transgender person is someone whose gender identity differs from that typically associated with the sex they were assigned at birth.

<span class="mw-page-title-main">Transsexual</span> People experiencing a gender identity inconsistent with their assigned sex

A transsexual person is someone who experiences a gender identity that is inconsistent with their assigned sex, and desires to permanently transition to the sex or gender with which they identify, usually seeking medical assistance to help them align their body with their identified sex or gender.

Gender-affirming hormone therapy (GAHT), also called hormone replacement therapy (HRT) or transgender hormone therapy, is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender or gender nonconforming individuals for the purpose of more closely aligning their secondary sexual characteristics with their gender identity. This form of hormone therapy is given as one of two types, based on whether the goal of treatment is masculinization or feminization:

The real-life experience (RLE), sometimes called the real-life test (RLT), is a period of time or process in which transgender individuals live full-time in their identified gender role in order to be eligible to receive gender-affirming treatment. The purpose of the RLE has been to confirm that a given transgender person could function successfully as a member of said gender in society, as well as to confirm that they are sure they want to live as said gender for the rest of their life. A documented RLE was previously a requirement of many physicians before prescribing gender-affirming hormone therapy, and a requirement of most surgeons before performing gender-affirming surgery.

Transgender health care includes the prevention, diagnosis and treatment of physical and mental health conditions for transgender individuals. A major component of transgender health care is gender-affirming care, the medical aspect of gender transition. Questions implicated in transgender health care include gender variance, sex reassignment therapy, health risks, and access to healthcare for trans people in different countries around the world. Gender affirming health care can include psychological, medical, physical, and social behavioral care. The purpose of gender affirming care is to help a transgender individual conform to their desired gender identity.

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