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Their responses replicated the finding that gynandromorphophilic men are distinct from gay men; the responses of the gynandromorphophiles were not distinguishable from those of the autogynephilic male crossdressers, however.These two groups showed little response to the male-only stimuli, large response to the female-only stimuli, but largest response to gynandromorph stimuli.As part of HIV prevention research in 2004, Operario et al.interviewed 46 men in the San Francisco area who had sex with transgender women, but found "no consistent patterns between how men described their sexual orientation identity versus their sexual behavior and attraction to transgender women".
The bisexuals among them did not display significantly more arousal to male stimuli than their heterosexual counterparts, however.
Psychologists have researched attraction toward trans women, cross dressers, non-binary people, or a combination of these.
Natal males attracted to transgender people primarily identify as heterosexual and sometimes as bisexual, but rarely as homosexual.
Sexual arousal research has confirmed that their response patterns are unlike those of gay men and resemble those of heterosexual men, except that they are highly aroused by transgender women in addition to natal women. A substantial proportion of men attracted to transgender people report also experiencing autogynephilia, sexual arousal in response to the image of themselves as female.
There has been some discussion of attraction to trans men, but it has not yet been the topic of scientific study.