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The Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People SOC require psychological counseling and for the patient to live a period of a time in the desired gender role, in order to assure that they can psychologically function in that gender role. Although current data support the safety of transgender HT with physician supervision, larger, long-term studies are needed in transgender medicine. Abstract Many transgender men and women seek hormone therapy as part of the transition process. The American Journal of Surgical Pathology. Development can take a couple years to nearly a decade for some. Atlas of Pelvic Anatomy and Gynecologic Surgery. Progress on the road to better medical care for transgender patients. Later effects include deepening of the voice, atrophy of the vaginal epithelium, and increased clitoral size.
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