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Transsexual people experience a gender identity that is inconsistent with, or not culturally associated with, their assigned sex and desire to permanently transition to the gender with which they identify, usually seeking medical assistance including hormone replacement therapy and other sex reassignment therapies to help them align their body with their identified sex or gender. Transsexual is a subset of transgender   but some transsexual people reject the label of transgender. Norman Haire reported that in Dora R of Germany began a surgical transition, under the care of Magnus Hirschfeldwhich ended in with a successful genital reassignment surgery.
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To study the influence of gender on HIV risk, a sample of the U. HIV risk and prevalence were lower than reported in prior studies of localized, urban samples, but higher than the overall U. Findings suggest that gender nonconformity alone does not itself result in markedly higher HIV risk.
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