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Some trans women choose to undergo this procedure if hormone therapy does not yield satisfactory results. Retrieved 2 September Occasionally these basic procedures are complemented further with feminizing cosmetic surgeries or procedures that modify bone or cartilage structures, typically in the jaw, brow, forehead, nose and cheek areas. Regular application of estrogen into the vagina [ citation needed ]for which there are several standard products, may help, but this must be calculated into total estrogen dose. Some treatment may require a minimum duration of psychological evaluation and living as a member of the target gender full-time, sometimes called the real life experience RLE sometimes mistakenly referred to as the real life test RLT before sex reassignment surgeries are covered by insurance. A previous study of all applications for sex reassignment in Sweden up to found that 9. This held after adjustment for prior psychiatric morbidity, and was true regardless of whether sex reassignment occurred before or after

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Van Trostenburg stresses the need to maintain dilation and hygiene for the newly created vagina and tissues left vulnerable to infections that may result from surgery.

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Main article: Hence, population-based register studies like the present are needed to improve representativity. Death events occurring up to 31 December are included in the study.

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National Center for Biotechnology InformationU.

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