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If this information was missing, we used instead the closest date in the Hospital Discharge Register on which the patient was diagnosed with gender identity disorder without concomitant psychiatric disorder prior to change in sex status. If, however, efficient hormone therapy is conducted before the patient is past puberty, the pelvis will broaden slightly, and even if the patient is past their teen years, a layer of subcutaneous fat will be distributed over the body rounding contours. Retrieved 13 June McHugh Sexual Reassignment Surgery SRS violates basic medical and ethical principles, and is, therefore, not ethically or medically appropriate. If the patient has been circumcised removal of the foreskin , or if the surgeon's technique uses more skin in the formation of the labia minora , the pubic hair follicles are removed from some of the scrotal tissue, which is then incorporated by the surgeon within the vagina. As for the adults who came to us claiming to have discovered their true sexual identity, and to have heard about sex- change operations, we psychiatrists have been distracted from studying the causes and natures of their mental mis-directions by preparing them for surgery, and for a life in the other sex. First Things November: For instance, trans men obtained a higher self-perceived health score than women because they had a higher level of testosterone than them.
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For the remainder of this chapter I will use GID as an abbreviation of gender identity discordance rather than disorder, as it is less pathologizing. This concept shifts the emphasis from a fetishistic reaction to women's clothes and the wearing of them, to a sexual responsiveness to the man's own body seen, in one way or another, as a woman's body. A number of girls in the U. The book finally identified transsexualism as a distinct, major medical affliction in which patients have an innate gender identity opposite to the genital sex of their bodies.
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