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My understanding of this condition is that it is pre conditioned to occur in either young women ages 2 It usually presents in women who are carrying their first child, and those who have poor nutrition.

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This research describes parental reports about a sample of AYAs who would not have met diagnostic criteria for gender dysphoria during their childhood but developed signs of gender dysphoria during adolescence or young adulthood.

This negative association between and fertility has been demonstrated time and again in research over the last century.

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