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SRS does not accomplish what it claims to accomplish. Such studies have been conducted either prospectively [7] , [12] or retrospectively, [5] , [6] , [9] , [22] , [25] , [26] , [29] , [38] and suggest that sex reassignment of transsexual persons improves quality of life and gender dysphoria. The data were analysed using SAS version 9. Previous reports [6] , [8] , [10] , [11] suggest that transsexualism is a strong risk factor for suicide, also after sex reassignment, and our long-term findings support the need for continued psychiatric follow-up for persons at risk to prevent this. Social support can help them to relate to their minority identity, ascertain their trans identity and reduce minority stress. In spite of these early findings, and lack of contravening evidence that SRS conveyed any benefits compared with any unoperated-upon control groups, the practice of SRS has continued, and has been extended into younger age groups. This contrasts with previous reports with one exception [8] that did not find an increased mortality rate after sex reassignment, or only noted an increased risk in certain subgroups.
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Complete castration after puberty leaves the young Hijra with her newfound feelings of sexual arousal and her newfound orgasmic capabilities. Actress Ada Nicodemou reveals her day on a plate 'The show must go on An earlier known recipient of this was Magnus Hirschfeld 's housekeeper , [53] but their identity is unclear at this time. Last year, Medicare lifted a year ban on coverage for gender reassignment surgery , and the surgery was performed on year-old Army veteran.
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