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After sex change, girl wants to marry

A Chinese girl who underwent a series of sex change surgeries to become a boy hopes to lead a married life but is sad at not being able to father a child.

Geng Junlan underwent four operations in a year to become a boy and is now known by the name Geng Zi. Doctors who termed the surgery a "medical success" say Geng has also developed a "totally male psyche."

Geng, who made his first public appearance in Xiamen city in east China's Fujian province after the surgery, told reporters that though he wants to get married, he is worried whether his future wife would accept his "unusual history."

He also regretted that he would not be able to father a child like other men.

"I had dreamt of being a man since childhood, but didn't have enough money for the operation. I quarrelled with my family for 14 years on this matter," Geng said.

Geng said though people sized "her" up with curious eyes before the operation, they are now nice to him.

"My family has also accepted me again," Geng said, "My parents applied for a new identification card on my behalf.

"Now, my lifelong dream has come true. I can say I haven't wasted my life," Geng says with a smile.

http://www.hindustantimes.com

Heart patients get help with sex lives

JAMAICA BEACH - Lonnie Burgett is a happy man.

He has been married to a 48-year-old Chinese schoolteacher for four months and he has a normal sex life.

What's so remarkable about that?

Burgett, 49, has severe heart disease and, less than a year ago, suffered from erectile dysfunction as well as chronic, deep depression. He was unable to have sex, a condition that's considered an epidemic among men with heart disease.

"I'm one of the happiest men in the world," said Burgett, who married Guoquing Burgett in Harbin, China, near the Chinese-Russian border, on Thanksgiving Day. "On our honeymoon, we had the most amazing 30 days of my life."

The couple met in May via the Internet. Since 2004, Burgett has been treated by Dr. Ernst Schwarz, a University of Texas Medical Branch cardiologist whose research helped lead to the establishment last year of a Galveston clinic intended to help people with heart disease live more normal lives in part by overcoming erectile dysfunction.

50 patients so far

Formally opened in November, the clinic has taken on about 50 patients so far and demand is growing, Schwarz said. "We are trying to concentrate on high-risk patients like Mr. Burgett," he noted. "Most of our patients have come from private physicians who have not treated them for sexual problems because these physicians say these patients have such bad heart conditions or such bad diabetes or such long histories of high blood pressure that it is too dangerous to even think about sex or treating their sexual dysfunction or giving them any medication, such as Viagra, or even thinking about penile implants."

But with treatment to stabilize and improve their heart conditions, "all this can be done and most of these patients can achieve a condition stable enough (for treatment) or reach a point where they can tolerate surgery for their erectile problems," Schwarz said.

2nd annual conference Today, UTMB is hosting the second annual conference on "Sex and the Heart." The conference, not open to the general public, is designed in part to spread word of research not only about treatment of sexual dysfunction among patients with heart disease, but to dispel beliefs among many primary care physicians, urologists and cardiologists that drugs such as Levitra, Cialis and Viagra should not be prescribed for people who suffer from serious heart disease because the drugs can cause serious side effects or kill them.

Schwarz said the drugs can be safely used by many men with cardiovascular problems. But he said it takes "time and effort" by physicians and patients to decide which drugs can be used and achieve results.

Heart-strengthening drugs or special pacemaker-like devices can restore sexual function in about 20 percent of patients, Schwarz said.

Enlargement of pelvic arteries using inserted balloons can help another 25 percent or so of patients resume normal sex lives, he said.

Some heart patients can resume sexual activity with changes from or additions to drugs treating high blood pressure and other problems, Schwarz said. And Viagra and other prescription sex aids can be used safely by many men who have cardiovascular problems. But not all people with sexual dysfunctions can be restored.

Scarce research In recent months, Schwarz said 100 patients who ended up at UTMB with heart failure were surveyed about sexual issues.

Schwarz said 80 percent of male respondents — about 30 percent more than expected — and 50 percent of female participants reported sexual problems. Such research is scarce nationally so far, but Schwarz said UTMB's small sample was surprising.

More than 60 percent of the respondents said they were seeking medical help for sexual problems, but the vast majority said they feared medications "mainly because they're scared to do that because of their heart disease," Schwarz said.

He said communication between physicians and patients about sexual problems will be re-emphasized at this year's conference.

Burgett is scheduled to speak at the conference. He said he'll tell participants that, although his heart disease still threatens his life, Schwarz has changed, among other things, the mix of drugs Burgett had used for years and he no longer lives in constant fear that having sex would kill him.

"When I first started this deal, I couldn't carry two bags of groceries up the stairs to my house," Burgett said. "I had a great fear of meeting women because I knew that, when the time came, I would not be able to perform."

http://www.chron.com

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