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OSAKA, Japan — When the principal at a middle school in Osaka, a few hours west of Tokyo, insisted one of his new students do gym classes with the boys, the child's mother turned to the only person who could help: Dr. Jun Koh. It was the spring of , and the student was entering junior high at her new school. Back in first grade, when the Osaka student began insisting on wearing skirts, Koh was able to reassure her mother that there was nothing wrong with a boy wearing girls' clothes. Later, in the fifth grade, the student wrote a will after the teasing she faced in the boys' locker room left her contemplating suicide. So they turned to Koh again, and he helped get the school comfortable with the idea of the student living as a girl full-time.
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Transgender hormone therapy (male-to-female)

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Estrogen Treatment for Transgender Women and Transfeminine People

This planted the seed of gender confusion and led to my transitioning at age 42 to transgender female. In my case, I was diagnosed at age 40 with gender dysphoria and at age 50 with psychological issues due to childhood trauma. I thought my secret was safe, but my teenage uncle heard about it and felt I was fair game for taunting and sexual abuse. If not for the purple dress, I believe I would not have been abused by my uncle. Trump's anti-transgender memo would hurt teens like me.
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Why Transgender People In Japan Prefer To Be Told They Have A "Disorder"

Transgender hormone therapy of the male-to-female MTF type, also known as transfeminine hormone therapy , is hormone therapy and sex reassignment therapy to change the secondary sexual characteristics of transgender people from masculine or androgynous to feminine. Some intersex people also take this form of therapy, according to their personal needs and preferences. The purpose of the therapy is to cause the development of the secondary sex characteristics of the desired sex , such as breasts and a feminine pattern of hair , fat , and muscle distribution.
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After all, it's the most common cancer among American men, and an estimated , new cases of the disease are expected to be diagnosed this year, according to the American Cancer Society. But things are a little more muddled for transgender women—and experts say that trans women need to be aware of their prostate cancer risk. Even people who have undergone gender-affirming surgery will typically still have a prostate, Zil Goldstein, assistant professor of medical education and program director for the Center for Transgender Medicine and Surgery at Mount Sinai Health System, tells SELF. Prostate cancer can and does happen to transgender women.
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