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: The community includes trans men, trans women, and non-binary individuals who may identify as genderqueer, agender, or bigender.

Global reviews by organizations like the Human Rights Council highlight a "spiral of exclusion" where stigma in one area of life cascades into others. Cultural Competence in the Care of LGBTQ Patients - NCBI sites tube shemale

: It is crucial to distinguish that gender identity (who you are) is distinct from sexual orientation (who you are attracted to). Trans people can be straight, gay, lesbian, bisexual, or asexual. Challenges: The "Spiral of Exclusion" : The community includes trans men, trans women,