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A person undergoing surgery to transition from female to male typically has a subcutaneous mastectomy to remove breast tissue. Gerstner It involves changing the clitoris into a penis. Transgender men tended to report more frequent masturbation, sexual satisfaction, and sexual excitement than transgender women. It may be permitted in conversation between members of the same group but it is deemed an insult when applied to a transsexual by someone who is not transsexual. The aim of this is to allow the person to urinate while standing. This can allow them to get and maintain erections and have penetrative sex. Indiscriminate use of these three words, along with the others, shows a lack of training in and understanding of minority relations.

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