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Medical management of adult transsexual persons.

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For example, a boy who says he wants to be a girl so that he will receive the same special treatment his younger sister receives is not likely to have gender dysphoria. Many complications can arise with the use of the available therapies, and these must be considered before determining the appropriate course of action.

Hormone treatment of the adult transsexual patient.

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This review also discusses some special considerations for treating patients with significant, yet common, comorbid diseases such as human immunodeficiency virus infection, acquired immunodeficiency syndrome, and viral hepatitis, as these conditions may complicate the clinical course and preclude some patients from using certain therapies.

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