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Q1. Why “Male Who Identifies As Transgender” Rather Than “Transwomen”?

A1. We mean no disrespect by using “males who identify as transgender” to include transwomen, gender-fluid, and nonbinary athletes. Our goal is to clarify: Unlike gender identity, sex is immutable. Males cannot transform into females, regardless of gender identity and regardless of whether they choose to embrace or reject gender stereotypes.

Most males (about 70 percent) who call themselves women have not had any medical treatments. (Washington Post/Kaiser Family Foundation poll, 2023.) Only about 16 percent have had surgery. Therefore, in the majority of cases, when a man “transitions” to a woman, only a “social transition” (hair, makeup, behavior) occurs.

Biological sex is the designation of an individual as male or female based on reproductive organs and associated primary and secondary sex characteristics. People are either female with ovaries/eggs and an estrogenic endocrine system, or are male with testes/sperm and an androgenic endocrine system. Accordingly, we use female, girl (young female), woman (adult female) and male, boy (young male), and man (adult male) to indicate biological sex.