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Finally, to estimate start of follow-up, we prioritized using the date of a gender identity disorder diagnosis after changed sex status over before changed sex status, in order to avoid overestimating person-years at risk after sex-reassignment. Results We identified transsexual persons exposed cohort who underwent sex reassignment surgery and were assigned a new legal sex between and Retrieved 23 December They further compare the annual incidences of sex reassignment surgery SRS and male birth in the U. A five year follow-up study of 19 transsexuals in the process of changing sex.

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This is the latest accepted revisionreviewed on 17 June

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D ICD - Openly transsexual people can have difficulty maintaining employment. Wegener writes, "Langevin makes several concrete suggestions regarding the language used to describe sexual anomalies. There are the usual issues with anal penetration but being bisexual myself I know how to navigate these issues.

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