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Sex reassignment therapy SRT is an umbrella term for all medical treatments related to sex reassignment of both transgender and intersex people. Individuals make different choices regarding sex reassignment therapy, which may include female-to-male or male-to-female hormone replacement therapy HRT to modify secondary sex characteristics , sex reassignment surgery such as orchiectomy to alter primary sex characteristics , chest surgery such as top surgery or breast augmentation , or, in the case of trans women, a trachea shave , facial feminization surgery or permanent hair removal. To obtain sex reassignment therapy, transsexual people are generally required to undergo a psychological evaluation and receive a diagnosis of gender identity disorder in accordance with the Standards of Care SOC as published by the World Professional Association for Transgender Health. The SOC are intended as guidelines, not inflexible rules, and are intended to ensure that clients are properly informed and in sound psychological health, and to discourage people from transitioning based on unrealistic expectations. Gender roles and transitioning[ edit ] After an initial psychological evaluation, trans men and trans women may begin medical treatment, starting with hormone replacement therapy [59] [64] or hormone blockers.

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I had contemplated for the last three days how I would tell him. if I ever did. It definitely hadn't been like this in my head. Then again, hardly anything with him went the way I expected it to.

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My girlfriend was a proponent of it being very much worth the experience for both of us. She actually did the reverse Prince Albert. One of her coworkers did the Jacob's Ladder. She had been holding back.

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Please. " "Chris?" "I want to explain. Just. not here.

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Reaching up, I slid one hand behind his neck, drawing him to me. When our lips were only an inch apart, I murmured, "Yes. I'm yours forever, Chris Berry.

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