一個生物上的男性，被當作女性的性別角色教養，甚至於當作女性性別身份教養。後者的例子中，他甚至於可能想方設法（包括“性別轉換手術”）使得他的身體符合女性的自我形象。該例中，他的性偏好是男性，當然，毫無疑問地被認為是異性戀者。

Male-Feminine-Heterosexual

A person of male sex may adopt the feminine gender role and even a feminine gender identity. In the latter case he may then even try everything possible (including a "sex change operation") to make the body conform to the feminine self-image. In this case, an erotic preference for males, would, of course, have to be considered heterosexual.