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Transsexuals experience themselves as being of the opposite sex, despite having the biological characteristics of one sex. A crucial question resulting from a previous brain study in male-to-female transsexuals was whether the reported difference according to gender identity in the central part of the bed nucleus of the stria terminalis BSTc was based on a neuronal difference in the BSTc itself or just a reflection of a difference in vasoactive intestinal polypeptide innervation from the amygdala, which was used as a marker. Therefore, we determined in 42 subjects the number of somatostatin-expressing neurons in the BSTc in relation to sex, sexual orientation, gender identity, and past or present hormonal status. In contrast, the neuron number of a female-to-male transsexual was found to be in the male range. Hormone treatment or sex hormone level variations in adulthood did not seem to have influenced BSTc neuron numbers.
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Male-to-female transsexuals have female neuron numbers in a limbic nucleus

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Male-to-female transsexuals have female neuron numbers in a limbic nucleus

Males enjoy physical performance advantages over females within competitive sport. The sex-based segregation into male and female sporting categories does not account for transgender persons who experience incongruence between their biological sex and their experienced gender identity. Whether this regulation removes the male performance advantage has not been scrutinized. Here, we review how differences in biological characteristics between biological males and females affect sporting performance and assess whether evidence exists to support the assumption that testosterone suppression in transgender women removes the male performance advantage and thus delivers fair and safe competition. The performance gap is more pronounced in sporting activities relying on muscle mass and explosive strength, particularly in the upper body. Thus, the muscular advantage enjoyed by transgender women is only minimally reduced when testosterone is suppressed.
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Frank P. Pool, Michel A. Hofman, Louis J. Gooren, Dick F. Transsexuals experience themselves as being of the opposite sex, despite having the biological characteristics of one sex.
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