MSM Agreed Every single source I have and Puellanivis has referred to has said that TG TS women are considered MSM or along side MSM The much vaunted CDC source made it sound even less ambigous Her very own source backed me That TG TS women are for the CDC s and any other medical purpose biologically male that the MSM category does not take into account any aspec of identity Which would include gender identity Case closed The rest of this has just been about Puella and her personal feelings No my source states that gender identity is not tracked at all so the assumption on their part is that everyone is reported as they biological sex However again if a TS TG were reported as female since no gender identity information would be collected there would be no indication of which were which Literally TS TG information is entirely intermingled in some indeterminable amount The ambiguity of not collecting TS TG information means that there is simply a blanket assumption about how the information is received from the CDC the true answer is because of the ambiguity no one knows how they re split up the data is intermingled and there is no way to separate the information Again the answer from the CDC and from your sources is that the assumption is that MTF TS TG are reported as MSM and FTM are just pretty much ignored N B assumption since gender identity information isn t collected no one can say what it is Again being that my medical records indicate me as female and I continue to be asked are you pregnant when getting x rays indicates that I would not be reported as a male to the CDC Without collecting gender identity information no one can with certainty that all TS TG are recorded as MSM The answer is it s inconsistent and no one knows not haha I m right you re wrong TS TG are always MSM