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Method We conducted a qualitative exploratory study using different methodological approaches, implemented sequentially in three phases: 1 ethnographic observations, 2 focus groups, and 3 individual semi-structured in-depth interviews. Data collection involved writing ethnographic field notes and analytic memos and development of provisional hypotheses based on observations further explored in subsequent fieldwork. The following ethnographic field note describes an interaction between the research team, a key informant of another study that is a trans woman, and two participants. In this context, it may be more difficult for trans men and buchas to understand how or whether clinical and public health recommendations for cisgender women are applicable to themselves. I cut my hair shorter and started to transition. In most cases, participants had gone through long periods struggling alone and in silence to align their bodies with their gender, and lacked safe spaces to obtain accurate information about practices and technologies that might be available to them.

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Most of our participants only sought health care during emergency situations.

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Our participants shared a wealth of intimate information regarding their bodily practices for physical and gender performance and their techniques for projecting a masculine identity. Journal of Advanced Nursing. Laura and Milagros disagreed. Prevalence of gender identity disorder and suicide risk among transgender veterans utilizing veterans health administration care.

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