Sex designated at birth/sex recorded on original birth certificate/sex assigned at birth | Sex (typically male or female) assigned/designated according to external genitalia. |
Gender identity | Innate sense of feeling male, female, some combination of both, or neither. |
| Gender identity that is neither exclusively male nor exclusively female; may be some combination of the two, something else entirely, or fluid. Other terms that may be used for nonbinary gender identity include genderqueer, gender-creative, gender-independent, bigender, noncisgender, agender, and gender blender, among others. |
Gender expression | How gender is presented (eg, feminine, masculine, androgynous); gender expression does not necessarily correlate with birth-designated sex or gender identity. |
Gender diversity | Variation in gender identity, expression, or gender role behavior (eg, in choices of clothing, hairstyle, toys, playmates); "gender diversity" acknowledges a spectrum of gender identities. |
Transgender, trans, gender incongruence | Umbrella terms used to describe individuals whose gender identity is not strictly aligned with other biology; transgender and trans are used as adjectives ("transgender people"), not nouns ("transgenders"). |
| Person with male gender identity who was recorded/designated female sex at birth. |
| Person with female gender identity who was recorded/designated male sex at birth. |
Gender dysphoria | Distress or discomfort that may occur when gender identity and other biology is not strictly aligned. This term will be discarded in ICD-11 in favor of a sexual health designation that does not require dysphoria for the label. |
Transsexual | Older, clinical term that has fallen out of favor; historically, it was used to refer to transgender people who sought gender-affirming medical or surgical interventions. |
Sexual orientation | An individual's pattern of physical and emotional arousal and the gender(s) of persons to whom an individual is physically, romantically, or sexually attracted (gay/lesbian, straight, bisexual). The sexual orientation of transgender people is based upon their gender identity (eg, a transmasculine individual who is attracted to other men might identify as a gay man; a transfeminine individual who is attracted to other women might identify as a lesbian). |
Sexual behaviors | Specific behaviors involving sexual activities independent of traditional labeling. |
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