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: Frequent STI screenings are recommended for anyone with multiple sexual partners.

: Some ladyboys undergo full medical transitions, including gender-affirming surgeries like vaginoplasty, while others retain their natal male genitalia. Sexual Health and Physiology spunking ladyboys

The term is an English translation of the Thai term katoey . In Thailand and across Southeast Asia, it is used to describe transgender women or effeminate gay men who are often a visible and integrated part of society. Understanding Gender and Identity : Frequent STI screenings are recommended for anyone

: Estrogen and anti-androgens typically reduce sperm production and volume. including gender-affirming surgeries like vaginoplasty