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"Most insurance companies cover the cost of HRTwith the exception of the co-pay (that is paid by the patient). The costsranges from $5 to $40 per month depending on the method, manufacturer andhealth prescription plan. We also have a program that's run by a locallgbt org that makes it even cheaper if you don't have enough money."I squirmed a little bit. "What about, the surgery?" I asked. "You know,like, I don't know what it's called." It's called vaginoplasty," said the doctor. "Trans women today are ableto preserve considerable sensation, or often no loss of sensationreported at all, and very many report greatly improved sexualsatisfaction and full orgasmic potential. The outward appearance isvirtually indistinguishable from any other woman's vulva. The only twothings that are typically at all noticeable are that if your partner isparticularly well-endowed, he may notice a slight lack of depth, and thevaginal canal is often a little bit steeper than in cis women, thoughthat can be. I continued when he had finished."Amud, I would like to ask you to do something. I am not very familiar with your culture or of 'these things'. If it is allowed, please ask your wife to speak freely, commenting as she goes through the measuring process. I would like you to translate what she says literally. If you do not know a word, use a word picture, or describe what it does. I would like to ask questions of her as we go along, as well. Would that be allowed?"He thought about it, chewing it over. He then asked his wife. The discussion was somewhat heated. I wasn't sure who won."It is unusual request from strange man. At home, at old home, it would not be allowed for strange man to talk to wife or for him to have to hear worthless prattle from her ugly mouth, even through interpreter. But this is America, our new home. We must learn new ways of new home. Such things are not forbidden by Holy Book. We ... excuse please, I will allow it." Ah Ha! His wife had won!"Wonderful! Then do.
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