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Because of the risk of vaginal stenosis the narrowing or loss of flexibility of the vagina[3] [4] any current technique of vaginoplasty requires some long-term maintenance of volume vaginal dilationby the patient, using medical graduated dilators to keep the vagina open. After the critical developmental period had passed, not even severe abnormalities in hormonal status in adults will change person's gender identity or their sexual orientation. Gender identity development is complex and most likely stems from an intricate interaction between biological, genetic, social, and psychological factors. However, she elaborates on it by saying that being a trans woman often has a negative connotation. To see. M, Heterosexual male reference group; HM, homosex.

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Veale, J.

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There was no significant effect of oestrous cycle on any of the parameters examined in either cell type. Some surgeons prefer to do most of the crafting of the outer vulva as a second surgery, when other tissues, blood and nerve supplies have recovered from the first surgery. Articles with short description Wikipedia indefinitely semi-protected pages Articles with limited geographic scope from December Articles to be expanded from November Articles with multiple maintenance issues Articles needing more detailed references Articles needing additional references from September All articles needing additional references Wikipedia articles with GND identifiers Wikipedia articles with LCCN identifiers. The sexually dimorphic profile of GH secretion is thought to be engendered by gonadal steroids acting in part on hypothalamic periventricular somatostatin SOM neurons.

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The psychoendocrinology of the development of normal gender identity and its variations is poorly understood.

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