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transexxual, thai transsexual, chi chapter, post op transsexual, transsexual ffs, cisgender, online bookmarks, emergence:a transsexual autobiography, transsexual cartoons, data protection, barbie woods transsexual model, In FTM transsexuals, some hormonally-induced changes may become virtually irreversible within a matter of weeks, whereas MTF transsexuals usually have to take hormones for many months autogynephilia before any irreversible changes will result. Some transsexual men and women are able to avoid the medical community's requirements for hormone therapy altogether by obtaining hormones from black market sources, such as internet pharmacies which ship from overseas. Some autogynephilia surgeons who perform sex-reassignment surgery may require the patient to live as the opposite gender in as autogynephilia many ways as possible for a specified period of time, prior to the start of surgery. However, some surgeons recognize that RLT for FTM transsexuals, without at least chest reconstruction may be difficult. Some surgeons also recognize that the RLT may be difficult for some MTF transsexuals without facial feminization surgery.
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This time period of "cross-living" is usually known as the Real-Life-Test (RLT) or Real-Life-Experience (RLE). This is not always possible; transsexual men frequently cannot "pass" this period without hormones. Transsexual women may also require hormones to pass as women in society. Most transwomen chi chapter also require things such as facial hair chi chapter removal, voice training, and sometimes, facial feminization surgery, to be passable as females. Many feel that these things are more important than hormones to the passability of most transwomen. The most recent revision of the HBIGDA Standards of Care recognize this limitation for chi chapter some transgender people. Therefore, the SOC state that patients may be approved for treatment after either a period of successful cross-living or a period of diagnostic psychotherapy - generally at least three months. Some doctors may prescribe hormones to any patient who requests them; however, most physicians are extremely reluctant to do so, especially for FTM transsexuals.
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