Final answer:
Gender variance or a transgender identity does not reflect sexual orientation, nor does it indicate mental or physical health or biological sex. Gender identity is separate from sexual orientation and is about one's internal sense of gender, which may not align with the sex assigned at birth.
Step-by-step explanation:
Having a gender variance or transgender identity is not reflective of sexual orientation. While gender identity refers to how one identifies themselves, such as male, female, both, neither, or another gender, sexual orientation is about to whom one is attracted. It is a common misconception to conflate these two. Being transgender indicates that a person's gender identity does not match the sex they were assigned at birth. Terms like gender dysphoria have been used to describe the distress that may come with this mismatch, but not all transgender people experience it. Importantly, being transgender is not an indicator of mental health, physical health, or biological sex, and it is not inherently related to being homosexual, bisexual, or any other sexual orientation.
Furthermore, the classification of gender dysphoria in the DSM-5 as a mental disorder is contested and was reclassified by WHO as gender incongruence under sexual health. This reflects a growing understanding of gender as a spectrum rather than a binary, and recognition of the importance of supporting transgender and gender-nonconforming individuals in their identities for their mental and emotional well-being.