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Some individuals describe smoking as a way to feel more feminine or to embrace a particular aesthetic, such as holding a cigarette while wearing heels.

For some transgender women, smoking can be an act of self-expression, femininity, or a way to navigate complex emotions. smoken how shemales

Some studies suggest that for some transgender, non-binary, and gender non-conforming (TGNC) youth, smoking—particularly cannabis—is used to access moments of gender euphoria and affirmation, helping them feel more perceptive to their gender identity. Some individuals describe smoking as a way to

An Interdisciplinary Approach to Transgender Aging - ScienceDirect and gender non-conforming (TGNC) youth

Cannabis is sometimes used as a "catalyst" for exploring feelings related to gender and sexuality. Health Considerations for Trans Women Smokers

Nicotine is known to interfere with the function of hormones, potentially reducing the effects of female puberty and feminization.