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They may also request that pronouns be used to refer to them that are neither masculine nor feminine, such as “zie” instead of “he” or “she,” or “hir” instead of “his” or “her.” Some genderqueer people do not identify as transgender. Exact definitions of these terms vary from person to person and may change over time, but often include a sense of blending or alternating genders.

Sexual orientation refers to an individual’s enduring physical, romantic, and/or emotional attraction to another person, whereas gender identity refers to one’s internal sense of being male, female, or something else.

Various conditions that lead to atypical development of physical sex characteristics are collectively referred to as intersex conditions.

For information about people with intersex conditions (also known as disorders of sex development), see APA’s brochure Answers to Your Questions About Individuals With Intersex Conditions.

Transgender is an umbrella term for persons whose gender identity, gender expression or behavior does not conform to that typically associated with the sex to which they were assigned at birth.

Gender identity refers to a person’s internal sense of being male, female or something else; gender expression refers to the way a person communicates gender identity to others through behavior, clothing, hairstyles, voice or body characteristics.

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