Introduction

Gender dysphoria is characterized by distress due to an incongruence between experienced gender (ie, gender identity) and gender assigned at birth.  The desire to live and be treated as a different gender is persistent and intense and associated with significant distress and/or functional impairment.

Terminology

Sex:  the assignment of male or female, usually at or before birth, based on external sexual anatomy and/or chromosomal makeup (ie, sex assigned at birth).

Gender:  specific characteristics (eg, roles, behaviors, expectations) that a society associates with masculinity and femininity (ie, social construct of what it means to be a woman, man, girl, or boy); these characteristics vary among societies and change over time.

Gender identity:  a person's internal sense of being male, female, a combination of both, or neither.

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Tables

Table 1