Gender-affirming Surgery
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Gender-affirming Surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associated with transgender health care, though many such treatments are also pursued by cisgender individuals. It is also known as sex reassignment surgery (SRS), gender confirmation surgery (GCS), and several other names. Professional medical organizations have established Standards of Care, which apply before someone can apply for and receive reassignment surgery, including psychological evaluation, and a period of real-life experience living in the desired gender. Feminization surgeries are surgeries that result in female-looking anatomy, such as vaginoplasty, vulvoplasty and breast augmentation. Masculinization surgeries are those that result in male-looking anatomy, such as phalloplasty and breast reduction. In addition to gender-affirm ...
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Gynecology
Gynaecology or gynecology (see American and British English spelling differences) is the area of medicine concerned with conditions affecting the Female reproductive system, female reproductive system. It is often paired with the field of obstetrics, which focuses on pregnancy and childbirth, thereby forming the combined area of obstetrics and gynaecology (OB-GYN). Gynaecology encompasses both Primary care, primary and Preventive healthcare, preventative care of issues related to female reproduction and sexual health, such as the uterus, vagina, fallopian tubes, ovaries, and breasts; subspecialties include family planning; minimally invasive surgery; pediatric and adolescent gynecology; and pelvic medicine and reconstructive surgery. While gynaecology has traditionally centered on Cisgender, cisgender women, it increasingly encompasses anyone with female organs, including transgender, intersex, and Non-binary gender, nonbinary individuals; however, many non-cis women face acce ...
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Phalloplasty
Phalloplasty (also called penoplasty) is the construction or reconstruction of a penis or the artificial modification of the penis by surgery. The term is also occasionally used to refer to penis enlargement. History Russian surgeon Nikolaj Bogoraz performed the first reconstruction of a total penis using rib cartilage in a reconstructed phallus made from a tubed abdominal flap in 1936. The first gender-affirming surgery for a trans man was performed in 1946 by Sir Harold Gillies on fellow physician Michael Dillon, documented in Pagan Kennedy's book ''The First Man-Made Man''. Gillies' technique remained the standard one for decades. Later improvements in microsurgery made more techniques available. Indications A complete construction or reconstruction of a penis can be performed on patients who: * Have congenital anomalies such as micropenis, epispadias, and hypospadias * Have lost their penis * Desire gender-affirming surgery as part of their gender transition. Technique ...
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Tracheal Shave
Chondrolaryngoplasty (commonly called tracheal shave, but this is a misnomer as the trachea is not involved) is a surgical procedure in which the thyroid cartilage is reduced in size by shaving down the cartilage through an incision in the throat, generally to aid those who are uncomfortable with the girth of their Adam's apple. An alternative to this procedure is feminization laryngoplasty, albeit this procedure involves additional risks and has an effect on the voice that the patient may not desire. __TOC__ Surgery The technique was originally described by Francis G. Wolfort and Richard G. Parry and has been developed since. After an anesthetic (local or general, depending on whether or not it is the only surgery to be performed) is administered to the patient, a small, horizontal incision is made on the bottom of the Adam's apple. The muscles in the throat are then held apart with forceps, and the protruding cartilage is shaved down with a scalpel, thus making the throat a ...
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Orchiectomy
Orchiectomy (also named orchidectomy) is a surgery, surgical procedure in which one or both testicles are removed. The surgery can be performed for various reasons: *treatment for testicular cancer *as part of gender-affirming surgery for transgender women *as management for advanced prostate cancer *to remove damaged testes after testicular torsion. *after a trauma or complex rupture of the tunica albuginea. *as a treatment for post vasectomy pain syndrome. Less frequently, orchiectomy may be performed following a trauma, or due to wasting away of one or more testicles. Procedure Simple orchiectomy A simple orchiectomy is commonly performed as part of gender-affirming surgery for transgender women, or as palliative treatment for advanced cases of prostate cancer. A simple orchiectomy may also be required in the event of testicular torsion. For the procedure, the person lies flat on an operating table with the Human penis, penis taped against the abdomen. The nurse shaves a sm ...
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Penectomy
Penectomy is penis removal through surgery, generally for medical or personal reasons. Medical reasons Cancer, for example, sometimes necessitates removal of part or all of the penis. The amount of penis removed depends on the severity of the cancer. Some men have only the tip of their penis removed. For others with more advanced cancer, the entire penis must be removed. In rare instances, a botched circumcision can also result in a full or partial penectomy, as with David Reimer. Fournier gangrene can also be a reason for penectomy and/or orchiectomy. Follow-up support Because of the rarity of cancers which require the partial or total removal of the penis, support from people who have had the penis removed can be difficult to find locally. Website support networks are available. For instance, the American Cancer Society's Cancer Survivors Network website provides information for finding support networks. Phalloplasty is also an option for surgical reconstruction of a pe ...
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Assigned Male At Birth
Sex assignment (also known as gender assignment) is the discernment of an infant's sex, typically made at birth based on an examination of the baby's external genitalia by a healthcare provider such as a midwife, nurse, or physician. In the vast majority of cases (99.95%), sex is assigned unambiguously at birth. However, in about 1 in 2000 births, the baby's genitalia may not clearly indicate male or female, necessitating additional diagnostic steps, and deferring sex assignment. In most countries the healthcare provider's determination, along with other details of the birth, is by law recorded on an official document and submitted to the government for later issuance of a birth certificate and for other legal purposes. The prevalence of intersex conditions, where a baby's sex characteristics do not conform strictly to typical definitions of male or female, ranges between 0.018% and 1.7%. While some intersex conditions result in genital ambiguity (approximately 0.02% to 0.0 ...
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Trans Women
A trans woman or transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity and may experience gender dysphoria (distress brought upon by the discrepancy between a person's gender identity and their sex assigned at birth). Gender dysphoria may be treated with gender-affirming care. Gender-affirming care may include social or medical transition. Social transition may include adopting a new name, hairstyle, clothing style, and/or set of pronouns associated with the individual's affirmed gender identity. A major component of medical transition for trans women is feminizing hormone therapy, which causes the development of female secondary sex characteristics (breasts, redistribution of body fat, lower waist–hip ratio, etc.). Medical transition may also include one or more feminizing surgeries, including vaginoplasty (to create a vagina), feminization laryngoplasty (to raise the vocal pitch), or facial feminization surgery (to fe ...
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Transsexual
A transsexual person is someone who experiences a gender identity that is inconsistent with their assigned sex, and desires to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (including gender affirming therapies, such as hormone replacement therapy and gender affirming surgery) to help them align their body with their identified sex or gender. The term ''transsexual'' is a subset of ''transgender'', but some transsexual people reject the label of ''transgender''. A medical diagnosis of gender dysphoria can be made if a person experiences marked and persistent incongruence between their gender identity and their assigned sex. Understanding of transsexual people has rapidly evolved in the 21st century; many 20th century medical beliefs and practices around transsexual people are now considered outdated. Transsexual people were once classified as mentally ill and subject to extensive gatekeeping by the medical esta ...
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Transitioning (transgender)
Gender transition is the process of Gender affirmation, affirming and Gender expression, expressing one's Gender identity, internal sense of gender, rather than the sex Sex assignment, assigned to them at birth. It is a recommended course of treatment for individuals experiencing gender dysphoria, providing improved mental health outcomes in the majority of people. A social transition may include coming out as transgender, using a new name and pronouns, and changing one's public gender expression.Brown, M. L. & Rounsley, C. A. (1996) ''True Selves: Understanding Transsexualism – For Families, Friends, Coworkers, and Helping Professionals'' Jossey-Bass: San Francisco This is usually the first step in a gender transition. People socially transition at almost any age, as a social transition does not involve medical procedures. It can, however, be a prerequisite to accessing transgender healthcare in many places. In transgender youth, puberty blockers are sometimes offered at the ...
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Singapore
Singapore, officially the Republic of Singapore, is an island country and city-state in Southeast Asia. The country's territory comprises one main island, 63 satellite islands and islets, and one outlying islet. It is about one degree of latitude () north of the equator, off the southern tip of the Malay Peninsula, bordering the Strait of Malacca to the west, the Singapore Strait to the south along with the Riau Islands in Indonesia, the South China Sea to the east, and the Straits of Johor along with the State of Johor in Malaysia to the north. In its early history, Singapore was a maritime emporium known as '' Temasek''; subsequently, it was part of a major constituent part of several successive thalassocratic empires. Its contemporary era began in 1819, when Stamford Raffles established Singapore as an entrepôt trading post of the British Empire. In 1867, Singapore came under the direct control of Britain as part of the Straits Settlements. During World ...
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Legal Gender
Legal gender, or legal sex, is a sex or gender that is recognized under the law. Biological sex, sex reassignment and gender identity are used to determine legal gender. The details vary by jurisdiction. Legal gender identity is fundamental to many legal rights and obligations, including access to healthcare, work, and family relationships, as well as issues of personal identification and documentation. The complexities involved in determining legal gender, despite the seeming simplicity of the underlying principles, highlight the dynamic interaction between biological characteristics, self-identified gender identity, societal norms, and changing legal standards. Because of this, the study of legal gender is a complex field that is influenced by cultural, historical, and legal factors. As such, a thorough investigation is necessary to fully understand the subject's implications and breadth within a range of legal systems and societies. History In European societies, Roma ...
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Sweden
Sweden, formally the Kingdom of Sweden, is a Nordic countries, Nordic country located on the Scandinavian Peninsula in Northern Europe. It borders Norway to the west and north, and Finland to the east. At , Sweden is the largest Nordic country by both area and population, and is the List of European countries by area, fifth-largest country in Europe. Its capital and largest city is Stockholm. Sweden has a population of 10.6 million, and a low population density of ; 88% of Swedes reside in urban areas. They are mostly in the central and southern half of the country. Sweden's urban areas together cover 1.5% of its land area. Sweden has a diverse Climate of Sweden, climate owing to the length of the country, which ranges from 55th parallel north, 55°N to 69th parallel north, 69°N. Sweden has been inhabited since Prehistoric Sweden, prehistoric times around 12,000 BC. The inhabitants emerged as the Geats () and Swedes (tribe), Swedes (), who formed part of the sea-faring peopl ...
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