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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. 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, lower waist—hip ratio , etc. This, along with sex reassignment surgery can bring immense relief, and in most cases, rids the person of gender dysphoria. However, she elaborates on it by saying that being a trans woman often has a negative connotation. Levitt provides a simpler description of trans woman. She defines trans woman as "the sex of those who transition from one sex to the other.
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