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Ray Blanchard developed a taxonomy of male-to-female transsexualism that proposes two distinct etiologies for androphilic and gynephilic individuals that has become highly controversial, supported by J. Plast Reconstr Surg. That - combined with being trans - cut her potential dating pool to an uncomfortably low number of candidates. This is especially so in the case of trans men, many of whom are dissatisfied with the current state of phalloplastywhich is typically very expensive, not covered by health insurance, and commonly does not achieve desired results.
On Saturday, January 12,Kylan Arianna Wenzel was the first transgender woman allowed to compete in a Miss Universe Organization pageant since Donald Trump changed the rules to allow women like Wenzel to enter officially.