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Identity that does not match their assigned sex, often resulting in gender dysphoria. The causes of transsexuality have been studied for decades. The most. Transsexual people experience a gender identity that is inconsistent with their assigned sex and desire to permanently transition to the sex or gender. Trans women into two groups: homosexual transsexuals who are attracted exclusively to men, and who seek sex reassignment surgery because they are feminine. ). "Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden". PLOS ONE. 6 (2): e16885. Bibcode:2011PLoSO. Transsexual and transgender women may experience gender dysphoria, distress brought upon by the discrepancy between their gender identity and the sex. Recognise sex reassignments by permitting a change of legal gender on an individual's birth certificate.[citation needed] Many transsexual people have. People who desire medical assistance to transition from one sex to another identify as transsexual. A trans woman assigned male at birth and seeking feminizing. Homosexual transsexual is a taxonomic category of transsexual individuals used in sexology, psychology, and psychiatry. It categorizes trans women who. Intervention, and "fetishistic transsexuals", who had shown fetishistic arousal but who identified as transsexuals and sought sex reassignment surgery. In many. As congruent as possible with one's preferred sex Individuals cannot be diagnosed with transsexualism if their symptoms are believed to be a result of.