Given the complexity of gender formations and roles, it is very common to develop gender dysphoria (Crooks and Baur 2008, p.62). Those with a prolonged, extreme degree of transgenderism are known as transsexuals. Transgenderism differs from one’s sexual identity because the former is linked with the psychological coefficients of how one views or is viewed one’s gender roles (Bockting and Goldberg 2007, p.83). Varying degrees of interpretations and connotations are normally associated with how transgendered people are seen in societies. Cultural aspects too play a pivotal role in acknowledging individual and social roles for persons with gender dysphoria (Samovar et al. 2009, p.158).
Before further probing into the topic some basic ideas need to be defined. Sex is defined as the biological status of a person like male or female which can be determined by visual inspection during birth. Gender refers to the social status of any person or rather social manifestation of a person’s sex, such as womanhood or manhood (Kendall 2008, p.322). Transgender can be of three types: transgender female persons – those who have female physical attributes but think of themselves as men either partially, or fully; gender crossing females – those who reassign their genders so as to live part or full-time as men; and female-to-male (FTM) transsexed – those who were born females sexually but identity themselves as men and live as men do, but have not fully achieved socially recognizable manhood. Sexual orientation means a form of romantic, emotional and sexual attractions to men, women, both or neither. A transvestite is one who cross-dresses. Nowadays the term "transvestite" and "cross-dresser" are used synonymously (Valentine 2007, p.263).
The exact basis of gender dysphoria is unknown, and there are many debatable possible causes. Sadock et al. argue that gender identity disorders can be