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Individuals who have undergone and completed sex reassignment surgery are sometimes referred to as transsexed individuals; however, the term transsexed is not to be confused with the term transsexual, which can also refer to individuals who have not yet undergone SRS, and whose anatomical sex (still) does not match their psychological sense of personal gender identity.

The terms gender dysphoria and gender identity disorder were not used until the 1970s, "Transsexualism" was replaced in the DSM-IV by "gender identity disorder in adolescents and adults".

Another reason for objecting to the term transsexual is the concern that it implies something to do with sexuality, when it is actually about gender identity.

The word transsexual is most often used as an adjective rather than a noun – a "transsexual person" rather than simply "a transsexual".

Like other trans people, transsexual people prefer to be referred to by the gender pronouns and terms associated with their gender identity.

Alternatively, I use gynephilic and androphilic to refer to sexual preference for women and men, respectively.

Gynephilic and androphilic derive from the Greek meaning love of a woman and love of a man respectively.

Transsexuality was included for the first time in the DSM-III in 1980 and again in the DSM-III-R in 1987, where it was located under Disorders Usually First Evident in Infancy, Childhood or Adolescence.

Beyond Benjamin's work, which focused on male-to-female transsexual people, there are cases of the female to male transsexual, for whom genital surgery may not be practical.

1987[24], Coleman and Bockting, 1988[25], Blanchard, 1989[26]).

These labels thereby ignore the individual’s personal sense of gender identity taking precedence over biological sex, rather than the other way around." Psychologist Stephen T.

Those who are writing and researching in this area would do well to adopt his clear and concise vocabulary." Androphilia – The romantic and/or sexual attraction to adult males.

The term, along with gynephilia, is needed to overcome immense difficulties in characterizing the sexual orientation of transmen and transwomen.

Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical sex, that is to say, the body, is male.