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Transexual practice

Prostate massage is the massage or stimulation of the male prostate gland for medical purposes or sexual stimulation. The prostate takes part in the sexual response cycle , and is essential for the production of semen. Due to its proximity to the anterior rectal wall, it can be stimulated from the anterior wall of the rectum or externally via the perineum. Prostate massage is part of the digital rectal examination DRE routinely given to men by urologists in order to look for nodules of prostate cancer and to obtain an expressed prostatic secretion EPS specimen for microscopy and microbiological culture to screen for prostatitis.
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Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline

Transsexual people experience a gender identity that is inconsistent with their assigned sex and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance including sex reassignment therapies , such as hormone replacement therapy and sex reassignment surgery to help them align their body with their identified sex or gender. Transsexual is a subset of transgender , [2] [3] [4] but some transsexual people reject the label of transgender. Norman Haire reported that in [11] Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeld , which ended in with a successful genital reassignment surgery. In , Hirschfeld supervised the second genital reassignment surgery to be reported in detail in a peer-reviewed journal, that of Lili Elbe of Denmark. In , Hirschfeld introduced the German term "Transsexualismus", [12] after which David Oliver Cauldwell introduced "transsexualism" and "transsexual" to English in and
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