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Stage V is aligned with the onset of the menstrual cycle - which results in the production of progesterone for the first time. It is dedicated to engaging in effective advocacy for transgender people in our society. Stage IV If achieved, it will take one to two years to reach this stage. Same goes for any surgery related to transitioning: Whittle Eds.

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That's one reason that knowledge is so powerful during transition—we need to know what our options are in order to take care of ourselves. LGBT culture. To obtain sex reassignment therapy, transsexual people are generally required to undergo a psychological evaluation and receive a diagnosis of gender identity disorder in accordance with the Standards of Care SOC as published by the World Professional Association for Transgender Health. Many health clinics and services set up to serve gender variant communities employ the term, however most of the people using these services again don't identify with this term.

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Columbia University Press.

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