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Some doctors may waive the psychotherapy requirement as an unnecessary expense in an emotionally mature and stable individual, or require only a psychological evaluation.The intentions of the standard are to prevent people from transitioning when such a transition would be inappropriate (as a dramatic example, a person seeking to transition in order to veil their identity from police), or ill-advised (e.g., a strong crossdresser, who still identifies themselves as their assigned gender), and other cases where if a transition were undertaken, it would be expected to have strongly negative consequences for the patient.Commonly, transsexual people assert that their brain-based inner perception of their sexual self, their identity, is who they really are, and so change their physical sex in an effort to be on the outside as they feel they are on the inside.
Harry Benjamin, an endocrinologist and one of the first physicians to assist transsexuals obtain sex reassignment, quotes from a letter he received from Dr.
Christian Hamburger, the physician who treated Christine Jorgensen: These many personal letters from almost 500 deeply unhappy persons leave an overwhelming impression.
The latter may be impossible for transmen with large breasts, and while binding smaller breasts is partially effective, this can cause many health issues if done over a long period of time.
Many transsexuals find these requirements to be unjust as cisnatal men and women are not required to undergo any psychological evaluation or wait times to undergo chest reconstructive surgery.
To obtain sex reassignment therapy, transsexual people are usually required to receive psychological therapy and a diagnosis of gender identity disorder in accordance with the Standards of Care (SOC) as issued by the World Professional Association for Transgender Health (formerly and until 2006 the Harry Benjamin International Gender Dysphoria Association).
These are guidelines as the medical community struggles in how to deal with the treatment, and the nature of the treatment population changes, and are not obligatory.These physical alterations are collectively referred to as sex reassignment therapy and often include hormone replacement therapy and surgery.The entire process of switching from one physical sex and social gender presentation to the other is often referred to as transition, and usually takes several years.However, some transsexuals, especially among transmen, may not wish to have this surgery.Others can spend years or even decades saving up enough money to pay for it.These standards are open to the criticism of being ineffective, or being too strict, discouraging genuinely transsexual people from seeking treatment.Tags: Adult Dating, affair dating, sex dating