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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 also require things such as facial hair 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 transsexual vaginas most transwomen. The most recent revision of the HBIGDA Standards of Care recognize this limitation for some transgender people. Therefore, the SOC state transsexual vaginas that patients may be approved for treatment after either a period transsexual vaginas 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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