In the following few days, other cities including San Francisco, Boston, Hollywood and New York had marches of their own.
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A major component of medical transition for trans women is estrogen hormone replacement therapy, which causes the development of female secondary sex characteristics (breasts, redistribution of body fat, higher waist–hip ratio, etc.).
This, along with sex reassignment surgery can bring immense relief, and in most cases, rids the person of gender dysphoria.
Both transsexual and transgender women may experience gender dysphoria, distress brought upon by the discrepancy between their gender identity and the sex that was assigned to them at birth (and the associated gender role or primary and secondary sex characteristics).
Both transsexual and transgender women may transition, though only transsexual women would medically transition.
Many studies on this issue have suffered from reporting bias, since many transsexual people feel they must give the "correct" answers to such questions to increase their chances of obtaining hormone replacement therapy.
Patrick Califia, author of Sex Changes and Public Sex, has indicated that this group has a clear awareness of what answers to give to survey questions to be considered eligible for hormone replacement therapy or sex reassignment surgery: None of the gender scientists seem to realize that they, themselves, are responsible for creating a situation where transsexual people must describe a fixed set of symptoms and recite a history that has been edited in clearly prescribed ways to get a doctor's approval for what should be their inalienable right.
Trans women are often faced with discrimination in the form of violence.
In 2016, 22 transgender people were killed in the United States due to fatal violence, the most ever recorded in one year.
Approximately 56% of violent crimes towards trans people between 1990-2005 occurred because of perceived deception by the perpetrator.
Almost 95% of these crimes were committed by cisgender men towards trans women.
The label of transgender woman is not always interchangeable with that of transsexual woman, although the two labels are often used in this manner.