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Many individuals report a "trauma of non-acceptance," facing rejection from families and harassment in educational or healthcare settings.

Studies on sexual practices among transgender women, particularly in regions like Nigeria and Bangladesh, emphasize the prevalence of oral sex and the associated risks of oropharyngeal STIs.

Transgender individuals frequently encounter "institutionalized regimes of cisnormativity," particularly in schools, which can lead to bullying and lower academic performance.

“Transgenders are not dinosaurs!” Stigma faced by ... - PMC