Two fictional individuals, not based on any specific real people:
Ciara is a trans woman who begun medically transitioning in her early 20s. This means she had one endogenous testosterone-dominant puberty in her teens, then a medically induced secondary puberty in her 20s to adjust her secondary sexual characteristics so that she can feel more comfortable in her body. She has to fight against the permanent effects of the first puberty that can’t be undone by the secondary puberty. If she wishes to have a cisnormative woman’s voice, that is, the sort of vocal qualities typical of women’s voices, she must train herself. It’s the same sort of difficulty as mastering a musical instrument. She may have other issues as well, such as the early stages of androgenic alopecia (male-pattern baldness).
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