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This is particularly the case for trans men who: One important consideration is that any trans man who develops vaginal bleeding after successfully ceasing menses on testosterone, must be evaluated by a gynecologist.

This is equivalent to post-menopausal bleeding in a woman and may herald the development of a gynecologic cancer.

A clitoris fully supplied with nerve endings (innervated) can be formed from part of the glans of the penis.If the cervix is removed, it is called a 'total hysterectomy.' Some trans men desire to have a hysterectomy/BSO because of a discomfort with having internal female reproductive organs despite the fact that menses usually cease with hormonal therapy.Some undergo this as their only gender-identity confirming 'bottom surgery'.She transitioned and had surgery in the mid-1970s, and successfully fought to have transsexual people recognized in their new sex.The first male-to-female surgeries in the United States took place in 1966 at the Johns Hopkins University Medical Center.

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