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Please help improve this article by adding citations to reliable sources. That study used government data on adults to estimate numbers for children. The survey Rider analyzed asked about the sex the teens were assigned at birth, and if they considered themselves transgender, gender queer, gender fluid or unsure about their gender identity. Many trans men considering the option do not opt for genital reassignment surgery [ citation needed ] ; more frequent surgical options include bilateral mastectomy removal of the breasts and chest contouring providing a more typically male chest shape , and hysterectomy the removal of internal sex organs. While the rates of endometrial and cervical cancer are overall higher than ovarian cancer, and these malignancies occur in younger people, it is still highly unlikely that this question will ever be definitively answered. Some of this article's listed sources may not be reliable. The federal Centers for Disease Control and Prevention has not asked about transgender status on its youth surveys, noting that it is difficult to find the right question to yield a credible answer.
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