Men who have sex with men with regard to trans women, people born either biologically male or with ambiguous genitalia who self-identify as female. Some sources consider trans women who have sex with men to be MSM, others consider women who are trans "alongside" MSM, and others are internally inconsistent (defining transgender women to be MSM in one place but referring to "MSM and transgender" in another). Determining the number of men who have ever had sex with another man is difficult. Worldwide, at least 3% of men, and perhaps as high as 16% of men, have had sex at least once with a man. These
Open Your Heart (album) their hearts beat faster." "Pitchfork"s Ian Cohen gave the album a "Best New Music" designation, writing ""Open Your Heart" is smartly sequenced to metabolize genre and morph like a masterful DJ mix, subtly rationing out its true peaks even while seemingly going full-throttle throughout." Cohen concluded: "[I]f you bought their t-shirt, came to their show, raved about "Leave Home" on your Tumblr, or seek to carry on tradition by starting your own band, "Open Your Heart" is the Men thanking you in the best way possible." In another positive review, Rob Harvilla of "Spin" wrote ""Open Your Heart" improves the