First it s offensive because I am not a man I have enough trouble with the world accepting me as a woman to have the medical community continue to label me as a man If they want to track the HIV and AIDS risks for IS TG TS people I m all for that but don t dump us all in the category male You talk about HIV risk factors being more important than identity well then why don t we just lump all heterosexual women in the group of MSM because the number of people infected every year is identical between MSM and women