A recent report out of Iran supports what gays and lesbians have realized across the world – support for gender identity means an end of gay people.
Justice For Iran (JFI) and 6Rang, an Iranian lesbian and transgender network, have issued a report indicating that Iranian doctors routinely pressure lesbians and gays to undergo sex change operations including sterilisation.
Homosexuality is considered a sin in Iran, but transsexuality is viewed as a legitimate health problem curable through surgery.
Transsexuality was legalised after revolutionary leader Ayatollah Khomeini issued a religious edict in 1985 authorising sex change operations.
Iran carries out among the highest number of sex changes in the world and is the only country that imposes the death penalty for homosexual behaviour while permitting sex changes.
There were 1,366 applications  made to the Legal Medicine Organisation of Iran, which must approve such operations, between 2006 and 2010, but campaigners say anecdotal evidence from doctors suggests the number of operations is far higher.
Iran pressures lesbians, gays to have sex change operations – report.
Pathologizing Identities Paralyzing Bodies.