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Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex and desire to permanently transition to the gender with which they identify, usually seeking medical assistance including hormone replacement therapy and other sex reassignment therapies to help them align their body with their identified sex or gender. Transsexual is a subset of transgender , [1] [2] [3] but some transsexual people reject the label of transgender. Norman Haire reported that in , [10] Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld , which ended in with a successful genital reassignment surgery. In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark. In , Hirschfeld introduced the German term "Transsexualismus", [11] after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and
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Transsexual - Wikipedia

Male-to-Female MtF gender affirmation surgery GAS comprises the creation of a functional and aesthetic perineogenital complex. This study aimed to evaluate the effect of GAS on sexuality. We retrospectively surveyed all MtF transsexual patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between and In total, we received completed questionnaires after a median of 5. Of the study participants, Of those who had sexual intercourse,
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Sexuality after Male-to-Female Gender Affirmation Surgery

As we chat, Hammond shifts between these two conflicting narratives of post-bottom surgery sex. No matter how progressive your sexual politics, it can be difficult not to get swept up in the idea that our first experiences of intimacy are still significant. Of course, for transfeminine people, virginity narratives can be a bit more complex. Yet all those cultural ideas about sex as a woman — and first sex itself — still shape those initial forays into feminine sex, for better and for worse, in ways both exciting and awkward. No matter what your transition looks like, presenting as a woman can radically alter the way your partners treat you.
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It takes genuine inner strength to become who you are and we want to congratulate and celebrate you, wherever you are on your journey. Want to learn more about related conditions? Follow the links below to gain a better understanding of the symptoms and treatments. And everyone heals at a different pace.
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