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In general, transgender is an umbrella term than can include transsexual, as well as other related terms, such as transvestite.
An umbrella term that refers to those with identities that cross over, move between, or otherwise challenge the socially constructed border between the genders.
For example, someone born male may not feel much, if any, connection to what his culture has defined as being "masculine" and may instead strongly identify with what is typically defined as being "feminine." Some transgender people's sense of difference is so strong that they identify as transsexual and believe their assigned sex at birth was wrong and that their correct sex is one that aligns with their internal feelings.
They often have a deep desire to alter their physical appearance until it better matches their gender identity; two common methods of doing this include sex reassignment therapy and/or surgery.
Surgical procedures are also available to remove ovaries, Fallopian tubes, the uterus in trans men and make adequate changes in the chest and genitalia.
Hormone replacement therapy (HRT) is available for both trans men and trans women to promote masculine and feminine attributes respectively.Some jurisdictions require full surgical reassignment before a change of gender is allowed on official documents, while others less restrictive rules.Some do not allow a change in legal documents at any time.Individuals who are transgender and transsexual do not identify with the sex and/or gender constructs they were born into.People who are transgender feel a disconnect between their own internal concept of their gender and the gender roles made by their society.
DSM-V labels transsexual people Gender Dysphoric, a label contested by many trans people who say the problem is physical, not mental.