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Global reviews by organizations like the Human Rights Council highlight a "spiral of exclusion" where stigma in one area of life cascades into others. Cultural Competence in the Care of LGBTQ Patients - NCBI

The term "transgender" (or "trans") serves as an umbrella for individuals whose gender identity differs from the sex they were assigned at birth. sites tube shemale

: While modern terminology is relatively new, gender-diverse people have been documented across almost every culture throughout recorded history. Global reviews by organizations like the Human Rights