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While individuals who have undergone and completed SRS are sometimes referred to as transsexed individuals, [5] the term transsexed is not to be confused with the term transsexual , which may also refer to individuals who have not undergone SRS, yet whose anatomical sex may not match their psychological sense of personal gender identity. Some of Grey's medical expenses are covered by her insurance, Kaiser Permanente, including her hormone therapy, a portion of her gender reassignment surgery and preparatory genital electrolysis that has to be done before the surgery. Social attitudes Prejudice Violence. Alternative local standards of care exist, such as in the Netherlands, Germany, and Italy. Treatment could include behavioral health care, hormone therapy, and in some cases gender reassignment surgery. They also might incur additional costs for travel, hospital stays and psychological evaluations. There have been many cases of people who have lived and worked as a gender identity different from their gender assigned at birth.
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There is such diversity, even within people who identify as MTF. While hormones for minors are sometimes covered by insurance, surgery almost never is. Regular application of estrogen into the vagina [ citation needed ] , for which there are several standard products, may help, but this must be calculated into total estrogen dose. Several studies tried to measure the quality of life and self-perceive physical health using different scales.
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