Much of the criticism and confusion about Proctor and Gamble's decision appears to come from the misconception that only women menstruate. Someone's gender identity can be aligned with their sex, in which case a person is described as cisgender. Sex refers to the biological designation a person is assigned at birth based on physical characteristics, including reproductive organs and chromosomes. Menstrual pad maker Always has attracted controversy this week by announcing it will remove the female symbol from its products to reflect the fact that some people who menstruate don't identify as women, including transgender men and nonbinary people. The change was intended to make the products more inclusive of people who menstruate but don't identify as women, including transgender men and nonbinary people. The menstrual product company Always, owned by Procter and Gamble, has announced it will remove the female symbol from its product packaging. The discomfort of menstruation can be magnified for trans men who choose to take testosterone, since the hormone can cause vaginal inflammation and can make using tampons or menstrual cups painful, Gunter writes in "The Vagina Bible. World globe An icon of the world globe, indicating different international options. A nonbinary person is someone who identifies as neither male nor female, regardless of how they were assigned at birth.
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