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But differences in estimates may also reflect differences in how gender identity questions are phrased, Rider said. Please help improve this article by adding citations to reliable sources. 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. 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. Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter female anatomical traits to provide physical traits more appropriate to the trans man's male identity and functioning. Decreasing cancer risk is however, particularly important as trans men often feel uncomfortable seeking gynecologic care, and many do not have access to adequate and culturally sensitive treatment. That advice echoes American Academy of Pediatrics policy that says pediatricians should use gender-neutral terms and encourage teens to feel comfortable talking "about their emerging sexual identities.
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