Sida ku saabsan "jihaynta galmada," fikradda "transgender" lafteeda ayaa dhib leh, maadaama aysan lahayn saldhig aasaasi ah oo saynis ah ama xitaa heshiis ka dhexeeya dadka u ololeeya LGBT. Isla mar ahaantaana, waxaan shaki ku jirin in bulshooyinka reer galbeedka heerka ifafaalaha transgender ee diida xaqiiqada bayoolojiyada inay sare u kaceen sannadihii ugu dambeeyay. Hadday 2009 sano ku jirtay Rugta Caafimaadka Tavistock Dhallinta 97 waxay kahadleen dysphoria dysphoria, ka dib sanadkii la soo dhaafay tiradooda waxay gaadhay in kabadan laba kun.
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