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Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest. One important consideration is that any trans man who develops vaginal bleeding after successfully ceasing menses on testosterone, must be evaluated by a gynecologist. Our approach is to evaluate service coverage both in terms of what is required by each state and what these patients need to have available to them in order to properly transition. Guidelines for dealing with persons with ambiguous genitalia". In December , Alcorn, 17, was fatally struck by a tractor-trailer on an interstate after leaving a suicide note that said in part, "To put it simply, I feel like a girl trapped in a boy's body. Opinion Gender Thu Aug 3, - Letters must state that sex reassignment surgery is the correct course of treatment for the patient.
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At her two-month checkup, she had gained back half the weight she had lost, but still looked frail and self-conscious. As did so many postop transsexual women in the 's including Lynn Aleshia left her past life behind and entered stealth mode. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required.
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