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When Dalena SpiritSong goes in for her annual Ukrainian singles in Franklin checkup, she needs something most women do not: a prostate exam. As a transgender woman who began taking hormones in to make the transition from male to female, the year-old Corvallis resident still needs the exam recommended for men that age. Her transition forces her to navigate a health care world still learning how to serve transgender patients, as well as those who are gay, lesbian, bisexual, questioning or intersex. Shifting public health perspectives acknowledge the unique Livermore fit chicks reviews and concerns, both physical and mental, of the LGBT community. HIV and AIDS -- which still affects gay men disproportionately but is often a manageable disease -- is no longer the major health concern for the diverse community.

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