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That includes kids who refer to themselves using neutral pronouns like "them" instead of "he" or "she. Daniel Shumer, a specialist in transgender medicine at the University of Michigan, wrote in an accompanying opinion article in Pediatrics that the study supports other research suggesting that earlier counts of the trans population "have been underestimated by orders of magnitude. This technique results in far less scarring, and the nipple-areola doesn't need to be removed and grafted. Please help improve it or discuss these issues on the talk page. The labia majora are united to form a scrotum , where prosthetic testicles can be inserted. For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. Sex reassignment surgery is usually preceded by beginning hormone treatment with testosterone. Hysterectomy is the removal of the uterus.
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