And they usually take a testosterone blocker before they have genital surgery to block out whatever testosterone might be in their system. From the little blue pills that your mom might take after menopause, to injections of Estrodol.There are basically different strengths and origins.All transgender people don't necessarily want to change their biological sex.
For trans-men, it is actually a lot more expensive for genital surgery, and unfortunately, the results are often not as satisfying.
Insurance very rarely covers surgery for transpeople because most outsiders don't understand transpeople; they are repulsed by the idea and they are not even willing to consider the mental and sexual pain that we endure, just like someone with scoliosis or a club foot, or having a portwine stain on their face or something. Although they could so function under those circumstances, insurance does cover those situations.
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Especially for “F-to-M”, or female-to-male transsexuals, the genital surgery is not very advanced still, so many of them take some medical steps, but they do not have genital surgery.