3
Table 1. Definitions of Terms Used in This Guideline (cont'd)
Gender dysphoria (GD) is is the distress and unease experienced if gender
identity and designated gender are not completely
congruent (see Table 2). In 2013, the American Psychiatric
Association released the fih edition of the DSM-5,
which replaced "gender identity disorder" with "gender
dysphoria" and changed the criteria for diagnosis.
Gender expression is refers to external manifestations of gender, expressed
through one's name, pronouns, clothing, haircut, behavior,
voice, or body characteristics. Typically, transgender people
seek to make their gender expression align with their
gender identity, rather than their designated gender.
Gender identity/
experienced gender
is refers to one's internal, deeply held sense of gender.
For transgender people, their gender identity does not
match their sex designated at birth. Most people have a
gender identity of man or woman (or boy or girl). For
some people, their gender identity does not fit neatly into
one of those two choices. Unlike gender expression (see
above), gender identity is not visible to others.
Gender identity disorder is is the term used for GD/GI in previous versions of
DSM (see "Gender dysphoria"). e ICD-10 still uses the
term for diagnosing children, but the upcoming ICD-11
has proposed using "gender incongruence of childhood."
Gender incongruence
(GI)
is is an umbrella term used when the gender
identity and/or gender expression differs from what is
typically associated with the designated gender. Gender
incongruence is also the proposed name of the gender
identity-related diagnoses in ICD-11. Not all individuals
with gender incongruence have gender dysphoria or seek
treatment.
Gender variance See "Gender incongruence."
Gender reassignment is refers to the treatment procedure for those who want
to adapt their bodies to the experienced gender by means
of hormones and/or surgery. is is also called gender-
confirming or gender-affirming treatment.
Gender-reassignment
surgery (gender-
confirming/gender-
affirming surgery)
ese terms refer only to the surgical part of gender-
confirming/gender-affirming treatment.
