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Gender transition
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=== Medical-related terms === It is important to note that most transgender individuals will receive few, if any, surgeries throughout their lifetimes and some may never receive HRT. Barriers to accessing medical transitioning can include: a lack of financing, a lack of desire, or a lack of accessibility. There is no one way to transition, and while a medical transition or surgery can absolutely be medically necessary for some individuals' personal wellbeing, no two transitions are the same. * [[Puberty blockers|'''Puberty blockers / hormone blockers''']] are terms that refer to medications used to block natal sex hormones. For transgender youth, hormone blockers may be offered at the onset of puberty to allow the exploration of their gender identity without the distress<ref name=":7">{{Cite journal |last1=Turban |first1=Jack L. |last2=King |first2=Dana |last3=Carswell |first3=Jeremi M. |last4=Keuroghlian |first4=Alex S. |date=1 February 2020 |title=Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation |url=https://publications.aap.org/pediatrics/article/145/2/e20191725/68259/Pubertal-Suppression-for-Transgender-Youth-and?autologincheck=redirected |pmid=31974216 |access-date=2024-07-21 |journal=Pediatrics|volume=145 |issue=2 |doi=10.1542/peds.2019-1725 |pmc=7073269 }}</ref><ref name=":8">{{Cite journal |last=Lambrese |first=Jason |date=2010-08-01 |title=Suppression of Puberty in Transgender Children |url=https://journalofethics.ama-assn.org/article/suppression-puberty-transgender-children/2010-08 |journal=AMA Journal of Ethics |language=en |volume=12 |issue=8 |pages=645–649 |doi=10.1001/virtualmentor.2010.12.8.jdsc1-1008 |issn=2376-6980 |pmid=23186849|url-access=subscription }}</ref> of [[Puberty|irreversible pubertal changes]]. Puberty blockers are considered reversible<ref name=":2">{{Cite journal |last1=Rölver |first1=Angela |last2=Föcker |first2=Manuel |last3=Romer |first3=Georg |date=2022 |title=Desisting from gender dysphoria after 1,5 years of puberty suppression: A case report |department=Department of Child and Adolescent Psychiatry |journal=University Hospital Münster |volume=1 |issue=2 |doi=10.1016/j.psycr.2022.100049|doi-access=free }}</ref> and their use is deemed safe and effective<ref>{{Cite journal |last1=Rew |first1=Lynn |last2=Young |first2=Cara C. |last3=Monge |first3=Maria |last4=Bogucka |first4=Roxanne |date=February 2021 |title=Review: Puberty blockers for transgender and gender diverse youth—a critical review of the literature |url=https://acamh.onlinelibrary.wiley.com/doi/10.1111/camh.12437 |journal=Child and Adolescent Mental Health |language=en |volume=26 |issue=1 |pages=3–14 |doi=10.1111/camh.12437 |issn=1475-357X |pmid=33320999|url-access=subscription }}</ref> as treatment for gender dysphoria in gender-diverse children<ref>{{Cite journal |last1=Giordano |first1=Simona |last2=Holm |first2=Søren |date=2020-04-02 |title=Is puberty delaying treatment 'experimental treatment'? |journal=International Journal of Transgender Health |language=en |volume=21 |issue=2 |pages=113–121 |doi=10.1080/26895269.2020.1747768 |issn=2689-5269 |pmc=7430465 |pmid=33015663}}</ref> and [[precocious puberty]] in [[cisgender]] children;<ref>{{Cite journal |last=Eugster |first=Erica A |date=May 2019 |title=Treatment of Central Precocious Puberty |journal=Journal of the Endocrine Society |volume=3 |issue=5 |pages=965–972 |doi=10.1210/js.2019-00036 |pmc=6486823 |pmid=31041427}}</ref> their use may be discontinued at any time if natal puberty-blocking is no longer desired.<ref name=":2" /> For transgender adults, hormone blockers may be offered in a course with cross-sex hormone replacement therapy in order to treat gender dysphoria. * [[Transgender hormone therapy|'''Hormone replacement therapy (HRT)''']] is a medical treatment that replaces the primary sex hormones in one's body, in order to develop the secondary sex characteristics of the opposite sex. Individuals seeking masculinizing HRT are prescribed the male sex hormone [[testosterone]], while individuals seeking feminizing HRT are prescribed the female sex hormone [[estrogen]]. * [[Transgender voice therapy|'''Voice therapy''']] (or '[[Transgender voice therapy|'''voice training''']]') refers to a ''non-surgical'' gender-affirming treatment for the masculinization or feminization of one's voice. ''Transfeminine people'' will not experience any impact on voice pitch from feminizing hormone therapy (unless their natal puberty was sufficiently blocked), so voice training is very often underwent in order to learn how to speak in a higher and more feminine register. ''Transmasculine people'', on the other hand, will experience a marked lowering in pitch from masculinizing HRT (testosterone) to an often cisgender male level, so vocal masculinization training is uncommon outside of those who have not underwent masculinizing HRT. Irrespectively, vocal masculinization training can help one learn to speak in a lower and more masculine register. * [[Transgender voice therapy#Vocal surgeries|'''Voice surgery''']] refers to a ''surgical'' treatment that allows for the masculinization or feminization of one's vocal pitch. ''Transfeminine people'' can undergo voice surgery to surgically increase their pitch range. Transmasculine people very uncommonly undergo voice surgery, as masculinizing HRT (testosterone) often lowers voices to a cisgender male pitch. Irrespectively, vocal masculinization surgery can be underwent to surgically decrease their pitch range. * '''Facial surgery''' refers to any gender-affirming surgery underwent on the face. There exists [[Facial masculinization surgery|facial masculinization]] and [[Facial feminization surgery|facial feminization]]. * '''[[Gender-affirming surgery#Other surgeries|Top surgery]]''' refers to any gender affirming surgeries performed on the breasts. In transmasculine individuals, this may be a [[Mastectomy|double mastectomy]] (removal of breast tissue), and/or a '[[male chest reconstruction]]'. In transfeminine individuals, this may be a [[breast augmentation]]. * '''[[Bottom surgery]]'''<nowiki/> refers to any gender affirming surgeries performed on the genitalia. In transmasculine individuals, this may be a [[hysterectomy]] (removal of the [[uterus]]), and/or a [[oophorectomy]] (removal of the [[ovaries]]). A penis can be constructed through [[metoidioplasty]] or [[phalloplasty]], and a [[scrotum]] through [[scrotoplasty]]. In transfeminine individuals, this may be a [[penectomy]] (removal of the penis), [[orchiectomy]] (removal of the testicles), [[vaginoplasty]] (construction of a vagina), and/or a [[vulvoplasty]] (construction of a vulva).
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