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In no case has self-castration, for example, been reported of women-men.
         /from Men as Women, Women as Men. Changing Gender in Native American Cultures by Sabine Lang/

Only two alternatives, as a polarization into male and female, exist in Western culture; therefore, quite opposite to many traditional cultures, it nurtures and expects transsexuals to modify their bodies in order to have the change of their gender status accepted.

Photo © Christine Kacz Ruse

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