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Even though the overall mortality was increased across both time periods, it did not reach statistical significance for the period — She said she opted for a full vaginal canal because she wanted to experience penetrative sex and to 'relate to cis-gendered women'. Qual Life Res This suggests that even though sex reassignment alleviates gender dysphoria, there is a need to identify and treat co-occurring psychiatric morbidity in transsexual persons not only before but also after sex reassignment. Daily dilation of the vagina for six months in order to prevent stenosis is recommended among health professionals. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment. He further notes that transgender women and their male sexual partners have to be advised about vaginal intercourse, since the newly created vagina is physiologically different than a biological vagina.
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Transgender woman shares VERY graphic account of gender reassignment surgery

The labia minora construction was done by using the whole penile and prepuce skin to form the lip-like fold starting from the clitoral frenulum down to the side of vaginal opening. Trans women who had undergone face feminization surgery have reported higher satisfaction in different aspects of their quality of life, including their general physical health. Compare this sketch with the later photos of the details of modern SRS results, especially the one showing the entry of a vaginal stent into a postop's vagina. In her website she describes her own experiences and provides a lot of up to date information about orchiectomy, including a list of surgeons.
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