Courtney Penniman of Phoenix, Arizona transitioned from female to male on February 17, 2012. Penniman struggled with gender dysphoria since childhood and made the decision to transition with the support of friends in the Phoenix Gay Community.  He notes that there is a difference between gender identity and sexual orientation. Gender identity refers to the way you understand yourself and your gender.  It is about the internal sense of masculinity or femininity that a person feels. Sexual orientation is our attraction to someone else of the same or different gender or both. It refers to the kinds of relationships that you have with others. Transgender people can be heterosexual/straight, bisexual, homosexual/gay/lesbian.