Could be either or both I suppose, but I believe they're simply homosexuals who claim they were born with the wrong sex organs.
I'm not buying it, if a man who wants to have sexual relations with other men he's a homosexual, and surgery plus daily hormone cocktails won't make him a woman. The moral and biblical laws against buggery apply before and after the surgery.
Some men act like women........ some are good at it..
BUT alas; their still men... acting like women..
other gays do not do that.. they abuse kids instead..