Sexual Health

Five Common Misperceptions About Transgender People

With the Bruce Jenner interview still garnering an unprecedented amount of public attention – currently well over 2.7 million hits on YouTube — there¹s a great deal of buzzabout what it means to be a person who is transgender.

“All of this talk about transgender is a good thing,” said Dr. Kat Van Kirk, clinical sexologist. “Unfortunately there¹s still a lot of misunderstanding out there.”

To set the record straight, Dr. Kat compiled a list of the top five ways transgender continues to be confused:

1. “Sex” and “gender” are the same thing.

Sex is a category assigned at birth usually based on external genitalia. Gender can be based on many factors. It is the internal feeling of maleness or femaleness that we each experience as we grow up.

2. The terms transgender, transsexual, transvestite are all the same thing.

Nope. Transgender (TG) is an umbrella term. Being TG has to do with one¹s internal feelings of gender identity ­ maleness and femaleness and how the need to express that gender through clothes, etc. Transsexual is an older, outdated term that may mean someone has had full genital and breast surgery. Transvestite has been replaced with the term “cross-dresser.” Someone who cross-dresses (typically a heterosexual man), occasionally wears the clothes of the opposite sex, but the person has no desire to live full time as the opposite sex.

3. Being transgendered means you are “trapped” in the body of the opposite sex.

Many people refer to someone who is TG as having been “born a man” or “born a woman.” This is not accurate. We are all “assigned” our sex when we are born based on our external genitalia. This can mean that internal genitalia can be different, in addition to chromosomal differences that would contribute to feeling like the opposite gender as we grow up. It¹s never safe to make assumptions as gender is considered to have an entire spectrum of possibilities ­ so much so, that some individuals do not identify as either. Some inter-sexed people do eventually identify as TG and some don¹t. It should all always left up to the individual to self identify.

4. The holy grail of being transgendered is “passing” as the opposite sex.

This used to be more the case when people had to worry about being accepted in their communities. This is far less of an issue now, as we are all realizing that gender and gender expression vary widely. Some people are perfectly happy to be living their version of whatever gender they identify as. This may mean that they aren¹t interested in how other people view them but more about their own self-acceptance of who they are.

5. A transgendered person has to get the whole surgery to be considered transgender or transsexual.

It used to be that people would refer to themselves as pre or post op transsexuals. We now know that not everyone requires the various surgeries or hormones to consider themselves TG. There are some people who have had breast and genital surgery (with or without plastic surgery

­ often referred to as sex reassignment surgery, SRS) who still refer to themselves as trans-sexual but that term isn¹t as commonly used as it once was.

6. Sexual orientation and gender are linked.

Your sexual orientation does not typically change with your gender identity. Meaning that if you were always attracted to one sex or the other or both sexes, that tends to continue whether or not you begin living as a new sex. That being said, some people do feel that they might want to experiment with their sexuality.

Dr. Kat Van Kirk is a licensed marriage and family therapist and clinical sexologist. She runs the website and is the resident expert for Adam and Eve ( ). She also is the author of The Married Sex Solution: A Realistic Guide to Saving Your Sex Life and a media personality. Follow her on Facebook: or Twitter: @drkatsexchat



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