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The label of transgender woman is not always interchangeable with that of transsexual woman, although the two labels are often used in this manner. Transgender is an umbrella term that includes different types of gender variant people including transsexual people. Both transsexual and transgender women may experience gender dysphoria , distress brought upon by the discrepancy between their gender identity and the sex that was assigned to them at birth and the associated gender role or primary and secondary sex characteristics. Both transsexual and transgender women may transition, though only transsexual women medically transition. A major component of medical transition for trans women is estrogen hormone replacement therapy , which causes the development of female secondary sex characteristics breasts , redistribution of body fat, lower waist—hip ratio , etc.

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