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Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria i. Gender identity is distinct from sexual orientation, sex development, and external gender expression. Each construct is culturally variable and exists along continuums rather than as dichotomous entities. Training staff in culturally sensitive terminology and transgender topics e. Depending on their comfort level and the availability of local subspecialty support, primary care clinicians may evaluate gender dysphoria and manage applicable hormone therapy, or monitor well-being and provide primary care and referrals.
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Since returning from county cricket she has made four centuries and averages Blythin, 24, told The Times recently that she has identified as a transgender woman for five years. Get The International Pack for free for your first 30 days for unlimited Smartphone and Tablet access. Already a member? Log in.
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Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know

Transgender rights in Canada , including procedures for changing legal gender assignment and protections from discrimination, vary among provinces and territories. Initiatives towards gender inclusivity was a promise made by Prime Minister Justin Trudeau. As of August 31, , Canadians can indicate that they do not identify as male or female on their passports. This is an ongoing effort by the federal government to eventually allow individuals to indicate their sex as 'x' on their passport and other government-issued identification. In order to alter the sex recorded on an individual's birth certificate, they must go through the province or territory where they were born.
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My life is spiraling downward I couldn't get enough money to go to the Blood Red Romance and Suffocate Me Dry concert It sucks cause they play some of my favorite songs like "Stab my heart because I love you" and "Rip apart my soul" and of course "Stabby rip stab stab" And It doesn't help that I couldn't get my hair to do that flippy thing either I'm an emo kid, non-conforming as can be You'd be non-conforming too if you look just like me I have paint on my nails and makeup on my face I'm almost emo enough to start shaving my legs Cause I feel real deep when dressing in drag I call it freedom of expression, most just call me a fag Our dudes look like chicks and chicks look like dykes Cause emo is one step below transvestite. I'm dark and sensitive with low self esteem The way I dress makes everyday feel like Halloween I have no real problems but I like to make believe I stole my sister's mascara now I'm grounded for a week Sulking and writing poetry are my hobbies I can't get through a hawthorne heights album without sobbing Girls keep breaking up with me, it's never any fun They say they already have a pussy, they don't need another one.
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