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As a result, challenges to sexuality can be difficult and interrelated. While cisgender heterosexual patients rarely blame their sexual identification for his or her signs, LGBTQ patients may do so. To counter the stigma, clinicians can give psychoeducation on the subject and encourage their sufferers to explore their sexuality. There also is the issue of societal expectations. Those who determine as cisgender generally determine with the sex they were assigned at birth and may not experience sexual appeal to the opposite gender. Some transgender people do, though, experience sexual attraction toward the opposite sex.