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Although the exact etiology of transsexualism is still not fully understood, it is most probably a result of a combination of various biological and psychological factors. In conjunction with hormone replacement therapy, MTF patients typically take testosterone-blocking medications such as aldactone to block testosterone that is produced by the testes.
It is usually advised to stop all hormonal therapy 2 to 3 weeks preoperatively. Abstract In female-to-male transsexuals, the operative procedures are usually performed in different stages: