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In on-line forums, parents have reported that their children seemed to experience a sudden or rapid onset of gender dysphoria, appearing for the first time during puberty or even after its completion. Parents describe that the onset of gender dysphoria seemed to occur in the context of belonging to a peer group where one, multiple, or even all of the friends have become gender dysphoric and transgender-identified during the same timeframe. Recently, clinicians have reported that post-puberty presentations of gender dysphoria in natal females that appear to be rapid in onset is a phenomenon that they are seeing more and more in their clinic. Academics have raised questions about the role of social media in the development of gender dysphoria. For this descriptive, exploratory study, recruitment information with a link to a question survey, consisting of multiple-choice, Likert-type and open-ended questions was placed on three websites where parents had reported sudden or rapid onsets of gender dysphoria occurring in their teen or young adult children. To maximize the chances of finding cases meeting eligibility criteria, the three websites 4thwavenow, transgender trend, and youthtranscriticalprofessionals were selected for targeted recruitment. Website moderators and potential participants were encouraged to share the recruitment information and link to the survey with any individuals or communities that they thought might include eligible participants to expand the reach of the project through snowball sampling techniques.

The testicles, which are male reproductive organs that produce sperm, sit in a sac, called the scrotum. The scrotum is just below the penis. Around are two common orchiectomy procedures designed for transgender women: bilateral orchiectomy and austere orchiectomy. In a bilateral orchiectomy, the surgeon removes both testicles. During a simple orchiectomy, the surgeon could amputate either one or both testicles. Joint orchiectomy is the more common brand of orchiectomy for transgender women. All through an orchiectomy, the surgeon will amputate one or both testicles from the scrotum. During a scrotectomy, the doctor will remove the entire scrotum before a portion of it.

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