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Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex, and desire to permanently transition to the gender with which they identify, usually seeking medical assistance (including hormone replacement therapy and other sex reassignment therapies) to help them align their body with their identified sex or gender.Transsexual is generally considered a subset of transgender, Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld, which ended in 1930 with a successful genital reassignment surgery.
Transsexual people are sometimes referred to with directional terms, such as "female-to-male" for a transsexual man, abbreviated to "F2M", "FTM", and "F to M", or "male-to-female" for a transsexual woman, abbreviated "M2F", "MTF" and "M to F".
Alternatively, I use gynephilic and androphilic to refer to sexual preference for women and men, respectively.
Gynephilic and androphilic derive from the Greek meaning love of a woman and love of a man respectively.
but this view is controversial, and others argue that merely having some medical procedures does not have such far-reaching consequences as to put those who have them and those who have not (e.g.
because they cannot afford them) into such distinctive categories.
In such cases, while defining sexual attraction, it is best to focus on the object of their attraction rather than on the sex or gender of the subject.
Psychologist Rachel Ann Heath writes, "The terms homosexual and heterosexual are awkward, especially when the former is used with, or instead of, gay and lesbian.
One perspective offered by transsexual people who reject a transgender label for that of transsexed is that, for people who have gone through sexual reassignment surgery, their anatomical sex has been altered, whilst their gender remains constant.
Historically, one reason some people preferred transsexual to transgender is that the medical community in the 1950s through the 1980s encouraged a distinction between the terms that would only allow the former access to medical treatment.
Harry Benjamin said in 1966: ..seems evident that the question "Is the transsexual homosexual?
" must be answered "yes" and " no." "Yes," if his anatomy is considered; "no" if his psyche is given preference. "No" if reason and common sense are applied and if the respective patient is treated as an individual and not as a rubber stamp.
In 1930, Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark.