What does AFAB mean?
AFAB stands for Assigned Female at Birth. When a baby is born, doctors or parents usually decide whether to label the child as 'male' or 'female' based on their body. AFAB simply describes being given the female label at birth, but this label does not always match how someone truly feels inside or how they identify later in life.
Why is this term used?
The term AFAB is more respectful than phrases like 'born female' or 'biological female,' which can wrongly suggest that gender is fixed and only linked to the body. AFAB reminds us that there is a difference between the assignment made at birth and a person's real gender identity.
AFAB vs AMAB
AFAB = Assigned Female at Birth.
AMAB = Assigned Male at Birth.
These terms describe the label given at birth. They don't tell us someone's real gender identity.
How do AFAB people identify?
People who were AFAB may identify in many different ways, such as:
Cisgender women: their gender matches the female label they were given at birth.
Transgender men: people AFAB who identify and live as men.
Non-binary people: people who don't fit strictly into 'male' or 'female.'
Healthcare and support
AFAB people may have unique healthcare needs. These can include:
Reproductive health (such as cervical screenings, breast/chest health, contraception, pregnancy care).
Gender-affirming care (like testosterone, top surgery, or other treatments for those who want them).
Mental health support (help with feelings of dysphoria, discrimination, or challenges during transition).
Common myths
AFAB means you're female.
No, it just means that's the label given at birth.
AFAB Is About Biology.
AFAB is not a full reflection of someone's biology, it refers to a medical and social label assigned at birth, usually based on visible anatomy. In reality, biological sex exists on a spectrum, which we can see in people at different stages of transition and in intersex people.
You should always ask if someone is AFAB.
No, it's private. It should only be discussed if the person chooses to share, or in healthcare when relevant.
Why respectful language matters
Respect begins with language. Using a person's chosen name and pronouns shows recognition and care. AFAB should only be used when it is appropriate or preferred. Most importantly, remember that AFAB is just a description of what was written down at birth. It does not define who someone is. Each person's gender identity is their own, and it should always be honoured and respected.