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The exceptional cases of partial or total nipple necrosis may require a secondary nipple reconstruction. Regret may be due to unresolved gender dysphoria, or a weak and fluctuating sense of identity, and may even lead to suicide. Comparisons of female-to-males and male-to-females, although hampered by low statistical power and associated wide confidence intervals, suggested mostly similar risks for adverse outcomes Tables S1 and S2. Out of the persons identified after changed sex status, could also be identified before change in sex status. Some MTF individuals may elect to have voice surgery, altering the range or pitch of the person's vocal cords. The final cosmetic outcome of a radial forearm phalloplasty is a subjective determination, but the ability of most patients to shower with other men or to go to the sauna is the usual cosmetic barometer Fig. A before and B after implantation of testicular prostheses.
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In addition, the corpora cavernosa shafts inside her body can become erect once the girl is sexually aroused, and that arousal feels really wonderful - even though the external part of the penis is flaccid. Inadvertent as well as deliberate initial assignment to the male gender of a newborn with ambiguous genitalia is much more frequent in non-Western societies, , and any suggestions to reassignment may encounter strong cultural resistance, which needs to be taken into consideration. This book gave fresh hope to many transsexuals, and opened the door for the modern medical approaches that we now take for granted.
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