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The label of transgender man is not always interchangeable with that of transsexual man, although the two labels are often used in this way.

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Originally, the term trans men referred specifically to female-to-male transsexual people who underwent hormone replacement therapy (HRT) or sex reassignment surgery (SRS), or both.

The definition of transition has broadened to include theories of psychological development or complementary methods of self-acceptance.

In scholars' Ian Irving and Rupert Raj's book Trans Activism in Canada, researchers state, "There is still a common misperception that trans men are largely heterosexual amongst those who conflate gender identity and sexual orientation.

It is frequently assumed that trans men are exclusively attracted to women and have lesbian histories prior to transition." They add, "Recent data from the Trans PULSE project (Bauer, Redman, Bradley, & Scheim, 2013) challenge this assumption, with 63 percent of female-to-male spectrum trans people in Ontario reporting non-heterosexual identities and/or past-year sex with trans or non-trans men." They also argue that, based on some research, "many non-trans gay men have welcomed trans men into gay communities and have increasingly recognized trans men as potential sexual and romantic partners." Trans men can be victims of sex crimes, and there are cases where rape has occurred, including with the intention of changing the sexual expressions and/or the sexuality of trans men; this is known as corrective rape.

Transsexual is a term for AFAB and assigned male at birth (AMAB) people alike who feel their sex organs do not reflect their gender and have chosen to change some aspect of their body; it is an older term, with GLAAD stating that it is "still preferred by some people who have permanently changed - or seek to change - their bodies through medical interventions (including but not limited to hormones and/or surgeries)." The transgender community sometimes uses the term passing to describe a transgender person's ability to appear as the gender they identify with.

The opposite meaning is conveyed by the terms "to be read" or "to be clocked", and means not passing.

A trans man may be gay, bisexual, pansexual, polysexual, asexual, demisexual, etc., and some trans men consider conventional sexual orientation labels inadequate or inapplicable to them.

The literature commonly indicates that sexual attraction to those of their same gender (e.g., trans men liking men and trans women liking women) is considerably less common among trans men than among trans women; the vast majority of trans men are reported as heterosexual.

Trans men have less success fitting in with and identifying with the gay male community because it tends to be more cisgender-focused and body-focused (especially in terms of being phallocentric); as a result, gay trans men are likelier to partner with each other than with a cisgender gay man.

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