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For instance, some studies have found that men and women use different parts of their brains to rotate objects in their minds. Media attention on transgender issues and a general shift in public opinion over the past decade has allowed more people than ever to open up about how they identify and to seek treatment. A fifth of those who were ambivalent about their gender also disliked their body but only one half of these natal men and a quarter of these natal women wanted therapy to change their appearance. The hospital sees participants every three months at first and eventually once per year, collecting data each time. As treatment during a change in gender identity involves psychological and counselling support, hormone therapy and possibly reassignment surgery, medical services should plan to provide facilities to meet this increase in need. The number of people who identified as transgender presenting to Endocrine outpatients for each year is given in Table 1 and Figure 1.

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This difficulty will not influence the changes reported sincewhich have been monitored through both clinic and electronic records.

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Abstract Aim Overseas clinics specialising in management of transgender people have noted a marked increase in the numbers of people requesting therapy in the last few years. Testosterone is used in the transgender male population in order to induce masculinization; however the association between testosterone and breast cancer risk is not well defined. The work could help to explain why some people are more resilient than others, and lead to better treatment.

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Today, she says she feels entirely female, but it took a long time to get that way.

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