Gender identity is your internal sense of whether you are male or female. When you are transgender, this feeling doesn't match your actual sex. Your body is male or female, but inside you feel you are really the opposite sex. You feel "trapped" in the wrong body.
The feeling that something is different may begin early in life. Many adults who are transgender remember noticing a difference as children between what their bodies looked like on the outside and what they felt on the inside. Other transgender people make this discovery as adults.
Genital piercing -- among men and women -- is a form of body adornment. It is similar to other, more visible types of body piercings. A needle is used to make a hole, and a piece of jewelry is attached to the body by threading it through the hole.
Health professionals as well as piercing professionals point out that the practice is not without risk and should not be considered lightly.
Sometimes a person feels so strongly that his or her body is incorrect that the person decides to have medical treatment, from hormones to surgery, to make the body match how he or she feels inside. People who have gender reassignment surgery to make these changes may be described as "transsexual."
Sexual orientation and gender identity are related, but they aren't the same thing. For example, a person can be transgender without being homosexual.
Some people use makeup, haircuts, or clothing styles to look like members of the other gender. This is called cross-dressing and is not the same thing as being transgender. Cross-dressers may be heterosexual, homosexual, or bisexual.
If you are transgender, it's important to realize that there are lots of people like you. They have the same problems, emotions, and questions that you have, whether you are openly transgender, are still hiding the fact that you are transgender, or have a friend or family member who is transgender.
It can be very comforting and helpful to talk to people who know what you're going through. You can find such people through local or online groups. If you don't know where to find support, ask:
Your school counselor or trusted teacher.
A therapist or other counselor.
Websites and online organizations. You can find a list of such organizations on the GLBT National Help Center website at www.glnh.org.