Kamar yadda batun "tsarin jima'i", manufar "transgender" tana cikin matsala, tunda bata da tushen kimiyya ko ma yarjejeniya tsakanin masu gwagwarmayar LGBT. A lokaci guda, babu wata shakka cewa a cikin al'ummomin Yammacin Turai matakan da ke faruwa na transgender wadanda suka musanta gaskiyar ilimin halittu sun tashi sosai a cikin 'yan shekarun nan. Idan a cikin 2009 shekara a Asibitin Tavistock Matasa na 97 sun yi magana da dysphoria na jinsi, to a bara adadinsu ya kai fiye da dubu biyu.