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The labia majora are united to form a scrotum , where prosthetic testicles can be inserted. Daniel Shumer, a specialist in transgender medicine at the University of Michigan, wrote in an accompanying opinion article in Pediatrics that the study supports other research suggesting that earlier counts of the trans population "have been underestimated by orders of magnitude. Many trans men considering the option do not opt for genital reassignment surgery [ citation needed ] ; more frequent surgical options include bilateral mastectomy removal of the breasts and chest contouring providing a more typically male chest shape , and hysterectomy the removal of internal sex organs. This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position. Rider said to improve health disparities affecting transgender teens, doctors should help them feel more comfortable about seeking health care by asking how they identify and if they've experienced bullying, discrimination or other victimization. June Learn how and when to remove this template message. Sex reassignment surgery is usually preceded by beginning hormone treatment with testosterone. Gender transitioning Surgical procedures and techniques Trans men Transgender and medicine.
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