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J Clin Densitom. Several studies have shown that transgender individuals are at increased risk of committing suicide and self-harm, or experience depression 67. MTF-transsexual individuals Treatment Although some gynecologists are involved in the creation of the neo-vagina, in most multidisciplinary teams this is the responsability of the plastic surgeon. Br J Psychiatry. No significant difference in bone size or density was observed between patients on transdermal or oral estrogens, though muscle size was higher in patients on transdermal estrogens. If prostatic enlargement is suspected transvaginal ultrasound is probably the first imaging exam indicated since it is perfectly feasible and well tolerated by the patients.

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The current status of the change of sex operation.

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We often observe, in our medical practice, the use of pharmacological doses of cross-sex hormones, mainly by male transsexuals who wish to obtain rapid development of breasts and control of facial hair growth. The process of gender reassignment should be multi- and interdisciplinary, in which the endocrinologist has a key role. This is probably the reason why in more than a quarter of the patients the smear of the vaginal vault only contained avital material.

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The administration of testosterone enanthate every two weeks is able to maintain serum testosterone levels within the normal range for young adult men

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