一個生物上的男性，可能被當作女性的性別角色和身份教養，他可能想方設法使得其身體符合女性的自我形象。該例中的個體對女性有性偏好，這種性取向只能被稱作同性戀。

Male-Feminine-Homosexual

A person of male sex may adopt the feminine gender role and identity and try everything possible to make the body conform to the feminine self-image. If such an individual then also developed an erotic preference for females, this sexual orientation could only be called homosexual.