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Not all people who were assigned male at birth AMAB identify as men. Conversely, some people who were assigned female at birth AFAB identify as men. There are also emerging technologies that may make it possible for AMAB individuals to carry a child. Some people who have a uterus and ovaries, are not on testosterone, and identify as men or as not as women may wish to become pregnant. For those who opt to take testosterone, menses typically stop within six months of starting hormone replacement therapy HRT. In order to conceive, a person will need to stop the use of testosterone.
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For anemonefish, male-to-female sex change happens first in the brain

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Sex reassignment surgery (female-to-male) - Wikipedia

Please refresh the page and retry. B ritish experts have warned, however, that initiating a pregnancy in a transgender woman may be unethical as it would safer for the child to be born via a surrogate mother. They said that if womb transplantation for natural women becomes freely available on the NHS, hospitals may also have to offer it to transgender women due to equalities legislation. Transplanting a womb is a complicated, lengthy procedure and only a small number of women have undergone the procedure so far. Dr Paulson said there was no anatomical reason why a womb could not successfully be implanted into a transgender woman. W hile men and women have a different shaped pelvis, he added, there would nevertheless be room for an implanted womb. H owever, the shape of the male womb means transgender women would have to give birth via cesarean section, he said.
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Research Shows Many Trans Folks' Sexual Attractions Change After Transition

Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter anatomical traits to provide physical traits more comfortable to the trans man's male identity and functioning. Non-binary people assigned female at birth may also have these surgeries. Often used to refer to phalloplasty , metoidoplasty , or vaginectomy , sex reassignment surgery can also more broadly refer to many procedures an individual may have, such as male chest reconstruction , hysterectomy , or oophorectomy ,. Sex reassignment surgery is usually preceded by beginning hormone treatment with testosterone.
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When he was just 14 years old, Billy attempted to take his own life because he was unhappy in his female body. Two years later, he tried again. After overdosing, somebody found him and he was rushed to hospital where doctors pumped his stomach and saved his life. I said 'because nobody cares', she replied 'well I care'.
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