Truscum

The term 'truscum', meant to be an epithet directed at the medicalization supporters, came into usage through an often-referenced post by tumblr user transstingray [... in 2012] a 'truscum' individual believes that all trans people should identify as transsexual, identify within the binary, use only male or female pronouns […] . The term is derived from 'true transsexual' and 'scum' […] . Although 'truscum' was originally meant to be a derogatory term, it has since been reclaimed and redefined to mean an individual who believes that one needs to experience sex-based dysphoria in order to be trans, and that transsexualism is a medical condition. It has now transcended its original purpose and has become a term with which the supporters of medicalization identify themselves.

The truscum, or medical supporters, use basic, non-radical goals and a reliance on empirical evidence to develop and support a self-concept of being the more rational and realistic group within the debate.

That, in summary, is the tone taken by the very recently developed factions of quote unquote social justice warriors, trans and trans* activists, truscum, radfems; […]

Even among wonderful and truscum-battling friends I still avoid the label trans, instead occasionally asking for 'they' pronouns to be used and trying to talk of men as an outsider.