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If all these techniques are successful enough, only then androgens are induced to stimulate facial and chest hair followed by voice change.

Cost of sex change surgery in India ranges between INR 2,00,000 to INR 7,00,000 depending on conversion type and hospital you choose.

Discussions about their bodies, sexual pleasure, harassment, abuse, domestic violence, sexual orientation and relationships – some of the subjects covered in the workshop – are all novel for them.

“The vagina is where your sexual partner will insert his penis for intercourse,” Goyal explains. “Take a look,” she says, passing on a model of the scrotum and penis.

This squeamishness around teaching people about sex is amplified when it comes to those with disabilities.

One by one, she takes a woman’s hand and runs it over the urethra, vagina and anus of the rubber replica.

Each woman then traces her fingers over the 3-D model, feeling the shape of each part for herself.

Severe cases are recommended to go for surgical treatment.

Rest of the cases are initially treated with psychiatric counseling.

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