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.Some trans men date heterosexual women, while other trans men date queer-identified women; the latter might be because queer-identified women are less invested in the gender and sexual anatomy of a person when it comes to selecting an intimate partner.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.In a 2016 Bangkok Post article, a researcher stated, "Unlike in South Africa, where homophobic rape is rampant, with increasing trends as a large number of men still want to use violence to force trans people to abandon their sexual identity, there are no official surveys or studies about this problem in Thailand.However, unlike the term transgender, transsexual is not an umbrella term, and many transgender people do not identify as such.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 label of transgender man is not always interchangeable with that of transsexual man, although the two labels are often used in this way.
Some scholars argue against assumptions that trans men are predominantly heterosexual and usually have lesbian histories.
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.
Transsexual and transgender men may seek medical interventions such as hormones and surgery to make their bodies as congruent as possible with their gender presentation.
However, many transgender and transsexual men cannot afford or choose not to undergo surgery or hormone replacement therapy.