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| | Gynecomastia in M2F transgenderism, Journal of Gender Speculation |
 | | While transgenderism is often not associated with identified intersex states (11, 12), some authors state that gender change in intersexuals is higher than in the general population (13), and may not follow assigned gender in some cases (14), suggesting the possibility that past assessments of the transgendered may have overlooked subtle variants of intersex stigmata. |
 | | Since social and psychological effects of gynecomastia may alter self image, gender identity, gender stress, or sexual behavior, especially at adolescence (38 -p236, 254; 91; 98-p31; 150), gynecomastia per se as a primary stimulus to transgenderism ought to be distinguished from gynecomastia and transgenderism as end results of a common biological antecedent. |
 | | In a case of partial AIS with a move to a male gender role (181) after an initial 5 years of being raised as a girl, even though breasts developed, this was preceded by 4 operations for hypospadias, reflecting a serious commitment to living as a male. |
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