Transmen's Experienced Sexuality and Genital Gender-Affirming Surgery: Findings From a Clinical Follow-Up Study

Genital gender-affirming surgery (GAS) aims to alleviate feelings of gender dysphoria and support psychosexual outcomes. However, little is known of sexual activity and satisfaction of transmen after phalloplasty or metoidioplasty. A clinical follow-up study was conducted in transmen at least one ye...

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Bibliographic Details
Published in:Journal of sex & marital therapy 2019-04, Vol.45 (3), p.201-205
Main Authors: van de Grift, Tim C., Pigot, Garry L. S., Kreukels, Baudewijntje P. C., Bouman, Mark-Bram, Mullender, Margriet G.
Format: Article
Language:English
Subjects:
Adult
Female
Gender
Gender-affirming care
Human papillomavirus
Humans
Male
Middle Aged
Personal Satisfaction
Self Concept
Sex Reassignment Surgery - psychology
Sexual Behavior - psychology
Sexuality
Surgery
Transgender Persons - psychology
Transsexualism - psychology
Transsexualism - surgery
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Summary:Genital gender-affirming surgery (GAS) aims to alleviate feelings of gender dysphoria and support psychosexual outcomes. However, little is known of sexual activity and satisfaction of transmen after phalloplasty or metoidioplasty. A clinical follow-up study was conducted in transmen at least one year after genital GAS in order to evaluate measures of experienced sexuality. Participants (N = 38) received a set of self-constructed questionnaires on sexual relationships and orientation, use of genitals during sexual contact, and the experienced influence of surgery on sexuality. Twenty-nine had received phalloplasty, nine metoidioplasty. The average follow-up time was 32 months. The majority reported to be sexually active. The use and enjoyment of both chest and genitals during sexual activity increased after surgery. Other areas of improvement included arousability, sexual interest, and pleasure. Free text comments provided an insight into the role of genital sensation and sexual self-esteem in postoperative sexuality. In conclusion, genital GAS positively impacts transmen's sexuality, although possible issues with genital sensation or penetration may exist and should be communicated preoperatively. Therefore, we recommend interdisciplinary collaboration on this subject.
ISSN:0092-623X
1521-0715
DOI:10.1080/0092623X.2018.1500405