Ukugcizelela ukususwa kwawo womabili umthondo namasende, izitho zocansi zesilisa zangaphandle.Kwehlukile ekuthena, okungukukhishwa kwamasende kuphela, yize amagama kwesinye isikhathi esetshenziswa ngokungafani.Imiphumela engaba khona yokwelashwa ngokuthwebula inkulu kakhulu kunaleyo ehambisana nokuthena, njengoba ukukhishwa kwenduku kuphakamisa uchungechunge olwehlukile lwezinkinga.Kunezinhlobo ezahlukahlukene zezizathu zenkolo, zamasiko, zokujezisa, nezomuntu uqobo zokuthi kungani omunye engakhetha ukuzithena yena noma omunye umuntu.Ukucwaswa okuvunyelwayo kungabonakala njengendlela yokuguqulwa komzimba okuthuthukisa ukuxhumana komamukeli nomphakathi noma ukuzizwela.Ngokuqhathanisa, ukuthenwa okungavunyelwene, njengalokho kwenziwa ngesijeziso noma ngengozi, kungahle kube yisitho sangasese.Ukwelashwa komuntu osikiwe kuyahluka kuya ngokuthi inqubo ibivumelana noma cha. Ukuthenwa liyasetshenziswa njengesifenqo ukuba ubheke ukulahlekelwa zomuntu ngobudoda.Indoda kuthiwa iyacwaswa uma ilahlekelwa, noma incishwa, isiko ngokwesiko elihlotshaniswa nokuba yindoda, njengamandla noma ukuzimela.   Kunezindlela ezahlukahlukene zokusika. Kokubili ipipi namasende kungasuswa ngasikhathi sinye kusetshenziswa into ebukhali, njengommese noma insingo noma izinkemba.Le ndlela ivame ukusetshenziswa odokotela abahlinzayo kwabesifazane abangama- transgender noma abadala benza amasiko noma amasiko enkolo.Izibopho zemithambo ezingacindezeli zingasetshenziswa futhi ekuhlinzeni kwezokwelapha ukunqamula ukujikeleza kwegazi nokunciphisa ukopha. Ngenye indlela, ipipi namasende kungasuswa ngezigaba ezihlukene ngesikhathi.Odokotela abahlinzayo bezokwelapha basebenzisa le ndlela lapho benza ukuhlinzekwa kwabesifazane abadlulayo abafuna ukuthi izitho zabo zangasese zisuswe ngaphezu kokuhlinzwa okuningi kokuphindisela ocansini (owesilisa nowesifazane), kunokuba kuhlalwe kanye.