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While there is not much data on sexual pain in trans men, one study fo — Transgender

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"While there is not much data on sexual pain in trans men, one study found that 12% of 211 participants reported pain at the same frequency before and after genital reconstruction surgery."
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Transgender
Transgender
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A transgender person has a gender identity different from that typically associated with the sex they were assigned at birth.

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"While numerous surgical interventions can be considered GAS, the procedures have been broadly classified as breast and chest surgical procedures, facial and cosmetic interventions, and genital reconstructive surgery. Prior studies have shown that GAS is associated with improved quality of life, high rates of satisfaction, and a reduction in gender dysphoria. Furthermore, some studies have reported that GAS is associated with decreased depression and anxiety.8 Lastly, the procedures appear to be associated with acceptable morbidity and reasonable rates of perioperative complications."
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"The preoccupation with transition and surgery objectifies trans people. And then we dont get to really deal with the real lived experiences. The reality of trans peoples lives is that so often we are targets of violence. We experience discrimination disproportionately to the rest of the community. Our unemployment rate is twice the national average; if you are a trans person of color, that rate is four times the national average. The homicide rate is highest among trans women. If we focus on transition, we dont actually get to talk about those things."
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"Several studies demonstrate a decrease in sexual desire after initiation of estrogen and antiandrogen medications. Prevalence of low sexual desire ranged from 32% to 73%, but the percentage of those experiencing distress from low sexual desire or hypoactive sexual desire disorder (HSDD) was 22% in a study of 214 trans women after medical and surgical affirmation. This distress associated with low sexual desire is a key marker for HSDD, a diagnosis often paired with depression."
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"Evidence suggests that less than 1% of transgender people who undergo gender-affirming surgery report regret. That proportion is even more striking when compared to the fact that 14.4% of the broader population reports regret after similar surgeries. For example, studies have found that between 5% and 14% of all women who receive mastectomies to reduce the risk of developing breast cancer say they regretted doing so. However, less than 1% of transgender men who receive the same procedure report regret. These statistics are based on reviews of existing studies that investigated regret among 7,928 transgender individuals who received gender-affirming surgeries. Although some of this prior research has been criticized for overlooking the fact that regret can sometimes take years to develop, it aligns with the growing body of studies that show positive health outcomes among transgender people who receive gender-affirming care."
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Transgender

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"The decades-long draconian approach of the international community to preventing drug dependence is now widely recognised to have been a human disaster, both in the failure to tackle the primary issue and for the additional human suffering caused, including the patients in moderate to severe pain who have been prevented from accessing essential medicines. We need politicians and policymakers to be courageous enough to admit that past policies were misguided, and to rebalance their priorities and approaches in ways that will reduce human suffering."
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Drugs
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"Wouldst thou have asked aught else from any god Whether with gleaming feet on earth he trod Or thundered through the skies — aught else for share Of mortal good, than in thy soul to bear The growth of song, and feel the sweet unrest Of the worlds spring-tide in thy conscious breast? No, thou hadst grasped thy lot with all its pain, Nor loosed it any painless lot to gain Where musics voice was silent; for thy fate Was human musics self incorporate: Thy senses keenness and thy passionate strife Were flesh of her flesh and her womb of Life."
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George Eliot