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Some neutrois people [neutrois is a specific nonbinary identity that is neither male nor female] feel they aren’t completely 100% gender-free or gender-neutral; rather, they lean a little more towards one side or another of the gender spectrum. Transfeminine means the person tilts towards female [...] It’s important to note this does not invalidate, contradict, or cancel out being neutrois, as they still feel a strong affinity with this identity. Instead, being transmasculine [...] is more of a modifier or a complement which adds to the complexity of their gender, gender expression, or gender identity. In these cases there might be a preference to present more closely to one gender over another, or it can be more comfortable to just live as one binary gender rather than the other. However, this choice is more often a result of convenience in order to navigate a society in which only two genders are recognized. A lot of people would ideally opt to have neutrois recognized as their gender and not be forced to make a decision between male and female only.

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The labels can be considered to be a gender identity, a gender expression, or both. It is an umbrella term that includes trans women who don't consider themselves nonbinary, and nonbinary feminine people.[1][2] Some examples of genders that transfeminine individuals may identify as include:

The word "transfeminine" was used in a 1985 issue of The TV-TS Tapestry, a magazine "for persons interested in crossdressing & transsexualism". In that issue, Jane Nance wrote about the difficulties of describing herself with the then-current terminology: Since Jane felt her identity was fully womanly, she did not want to identify as "transvestite", and since she did not want surgical transition she felt that "transsexual" was not accurate either, and neither was "transgenderist", since "I'm living and functioning in the world most of time in the male role." She proposed "transfeminine" as a possibility and said that the definition could be "a male who feels like a female, strictly undefined in relation to any issue of an operation".[4] This might or might not be the first recorded usage of the word "transfeminine".

A similar but distinct umbrella term to the trans-feminine spectrum is the male-to-female spectrum (MtF spectrum), meaning that they were assigned male at birth, and transition in a more female direction. This term is also not limited to people who specifically identify as women. "Trans-feminine" and "MtF spectrum" carry different nuances of meaning that may suit people in different ways. Trans-feminine doesn't call out someone's birth assignment, but does call out their gender expression as being feminine. There are trans women who prefer a more butch than feminine gender expression. Meanwhile, MtF spectrum doesn't specify one's gender expression as being feminine, calls out one's birth assignment, but transgender people can feel uncomfortable with having their gender assignment pointed out. Due to these nuances, people may feel that one term is more suitable than the other for their own comfort and for the most accurate description of their identity.

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Transfeminine (also written trans-feminine or trans feminine, sometimes abbreviated to transfem or transfemme[note 1], and sometimes known as cross-feminine or cross-femme[citation needed]) describes a person, transgender or otherwise (generally but not exclusively one who was assigned male at birth) who seeks to present femininely, identifies as more female than male, or wishes to transition to look more feminine. In general, although not exclusively, the prefix "cross-" is used by individuals who do not wish to nor believe themselves to be in transition, but still does not align their life-style or gender choice to be in full or partial synchrony with their physical sex.[citation needed]

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Notable people who consider their identity to be outside the Western gender binary, and who describe themselves with the word "transfeminine," include: