The terms gender dysphoria and gender identity disorder were not used until the 1970s, "Transsexualism" was replaced in the DSM-IV by "gender identity disorder in adolescents and adults".Male-to-female transsexualism has sometimes been called "Harry Benjamin's syndrome" after the endocrinologist who pioneered the study of dysphoria.For them, their sex organs, the primary (testes) as well as the secondary (penis and others) are disgusting deformities that must be changed by the surgeon's knife.
Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical sex, that is to say, the body, is male.
These labels thereby ignore the individual’s personal sense of gender identity taking precedence over biological sex, rather than the other way around." Psychologist Stephen T.
Wegener writes, "Langevin makes several concrete suggestions regarding the language used to describe sexual anomalies.
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Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex, and desire to permanently transition to the gender with which they identify, usually seeking medical assistance (including hormone replacement therapy and other sex reassignment therapies) to help them align their body with their identified sex or gender.
Their psychological sex, that is to say, the mind, is female." After 1967 Benjamin abandoned his early terminology and adopted that of "gender identity." and some people who pursue medical assistance (for example, sex reassignment surgery) to change their sexual characteristics to match their gender identity prefer the designation transsexual and reject transgender.