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To fully understand transgender integration into LGBTQ+ culture, one must distinguish between gender identity and sexual orientation. Sexual orientation concerns whom a person is attracted to (e.g., lesbian, gay, bisexual). Gender identity concerns a person’s internal, deeply felt sense of being male, female, a blend of both, or neither (e.g., transgender, non-binary, agender). Gender identity concerns a person’s internal, deeply felt
Access to gender-affirming care—including hormone replacement therapy (HRT), puberty blockers, and surgeries—is a critical component of mental health and well-being for many trans individuals. Navigating healthcare systems remains a major obstacle due to financial barriers, a lack of trained medical providers, and restrictive legislation. Systemic Marginalization