Which is what happened to Keira.
At 16, far too young to give informed consent, she was referred to GIDS. After just three appointments she was prescribed puberty blockers to stop her periods and breasts developing before starting to take the male hormone testosterone a year later. 

'I do not get brush burns or rug burns, instead, the top layer(s) will pull away, which is especially the case if I already have a blister, but it still frequently happens, even when there is no blister in sight.'

Asked if it was his expectation that Russia will use chemical weapons, the premier said: 'I just note that that is what they are already doing [preparing a fake story].
It is a cynical, barbaric government I am afraid.'

As she has aged, Ms Stout has noticed that the attention from others was less physical and more intrusive as strangers would approach her and ask her personal questions about her skin, making her feel as though they were treating her as less-than-human.

Kremlin troops launched two attacks on Kyiv late Wednesday and earlier today - one via the besieged western city of Irpin and another through the eastern district of Brovary, with video showing the moment Russian tanks and armoured vehicles were bombarded with artillery in a devastating ambush and forced to turn back. 

However, since gaining her following, she has had to put up with trolls calling her 'gross' and dehumanizing her by asking intrusive questions like whether she can have sex when her skin can not tolerate friction. 

This constant pain has put Ms Stout's life on a stand-still since infancy, as she cannot do the average things that most people her age do as part of their day-to-day routines, such as getting the subway to work or to sit for hours in an office, as sitting for long periods of time causes her unbearable pain.

Kyiv mayor Vitali Klitschko said today that Ukraine's capital city has been 'turned into a fortress' ahead of the Russian assault, with about 2 million people - half the residents of the metro area of the capital - having fled as Putin's troops draw ever closer.

To raise awareness for her condition and help others in a similar situation, Ms Stout launched a TikTok profile with over 21,000 followers and her most popular video being viewed by over 472,000 people.

‘They start saying that there are chemical weapons that have been stored by their opponents or by the Americans and so when they themselves deploy chemical weapons, as I fear they may, they have a sort of maskirovka, a fake story, ready to go.

'So, what matters beyond the outrage of the fact that this has happened in the first place is to make sure all this is catalogued so when - and they surely will be - President Putin and everybody in the military chain of command beneath him - because war crimes are committed at every level not just the ultimate decisionmaker - people will be held to account for what they are doing in. It's utterly despicable.'

Mr Johnson's comments came after Defence minister James Heappey insisted the bombing of a maternity hospital in Ukraine was a war crime as he called for Mr Putin and Russian generals to be held to account.

It was only then that she realised she was not a boy, but a young woman whose physique and fertility had been irreversibly damaged. She has now reverted to the gender she was born with, but still has the deep voice resulting from the hormones she took. 

The battle for Kyiv is now underway as Russian tanks this morning pushed to within just a few miles of the city outskirts, analysts and witnesses said, though initial assaults to the west and east were repelled as Putin's forces face a long and bloody campaign to try and take the capital.

Dr Hilary Cass is a retired paediatrician and makes clear in her introductory letter to young people who feel they need help around identity that she is not suggesting closing down the services they need, but proposes more and better care than what has been on offer from the Tavistock's Gender Identity Development Service (GIDS) in London.

'Clearly there is evidence to be gathered in which to prove it is a war crime, and Western countries are working together to make sure that evidence is gathered in the best way so people can be held to account.

I Am a procrastinator.
Every morning I have to clear up mess from the garden left by my dogs. Yesterday I applied a trick from psychologists, who say doing a dreaded chore for just three minutes makes it manageable. I did it. The rule works!

He says in almost every case puberty blockers led to cross-sex hormones, that no precise records were kept, there was an absence of published results and no follow-up of patients after the age of 18 as the service lost track of patients. 

The Prime Minister said Mr Putin is in charge of a 'cynical, barbaric government' and he believes Moscow could resort to deploying chemical weapons after its invasion stalled in the face of fierce resistance from Ukrainian forces

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