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Severe psychiatric morbidity was defined as inpatient care according to ICD-8 codes , , , and ; ICD-9 codes , , , tobacco use disorder excluded , Many thanks and greetings from a Catholic physician in Munich, Germany. For trans men, these may include mastectomy removal of the breasts and chest reconstruction the shaping of a male-contoured chest , or hysterectomy and bilateral salpingo-oophorectomy removal of ovaries and Fallopian tubes. Risk of various outcomes in sex-reassigned persons in Sweden compared to population controls matched for birth year and birth sex. At least one of these letters must be from a mental health professional experienced in diagnosing gender identity disorder, who has known the patient for over a year. The struggle is real This study demonstrated that persons after sex reassignment, have considerably higher risks for mortality, suicidal behavior, and psychiatric morbidity than the general population Dhejne et al.
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Sex reassignment surgery (male-to-female)

Dilators of increasing size are regularly inserted into the vagina at time intervals according to the surgeon's instructions. I would like to recommend all my friends specially transgender like me. Some surgeons prefer to do most of the crafting of the outer vulva as a second surgery, when other tissues, blood and nerve supplies have recovered from the first surgery.
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