Sexual Experiences in Transgender People: The Role of Desire for Gender-Confirming Interventions, Psychological Well-Being, and Body Satisfaction

Nikkelen, Sanne W. C.; Kreukels, Baudewijntje P.C.

doi:10.1080/0092623x.2017.1405303

Cited by 71 publications

(49 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An important area of improvement includes one's gender affirmation. A finding that confirms other studies (Nikkelen & Kreukels, 2018;van de Grift, Elaut et al, 2017) observing positive associations among gender affirmation, body satisfaction and sexual outcomes. Also, participants experienced increased sexual initiative and sexual pleasure.…”

supporting

confidence: 91%

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

Grift

Pigot

Kreukels

et al. 2019

Journal of Sex & Marital Therapy

Self Cite

View full text Add to dashboard Cite

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 ¼ 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.

show abstract

supporting

confidence: 91%

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

Grift

Pigot

Kreukels

et al. 2019

Journal of Sex & Marital Therapy

Self Cite

View full text Add to dashboard Cite

show abstract

“…Trans women (MtF) who receive cross-sex hormone treatment usually experience a decrease in testosterone, whereas trans men (FtM) generally face an increase in testosterone levels. GAS may have less direct effects on sexual drive, whereas it seems to be more linked to general body satisfaction, personal sexual identity recognition, and sexual pleasure [24]. A recent online survey [23•] revealed that the most frequent sexual problems experienced by trans women and men in HT were desire and orgasm difficulties.…”

Section: Transgender Women and Menmentioning

confidence: 99%

“…Compared with trans people (both men and women) under HT only, trans people after GAS seemed to report low sexual desire, aversion, and arousal difficulties less often. A large Dutch study [24] considered 325 MtF and 251 FtM divided in 3 groups: no desire for treatment (NTD), wanting a treatment (UTD), and treatment fulfilled (FTD). For MtF, no difference was found regarding partnered sexual activity frequency among the 3 groups, while masturbation was higher in NTD than the other two groups.…”

Section: Transgender Women and Menmentioning

confidence: 99%

Sexual Desire and Fantasies in the LGBT+ Community: a Focus on Bisexuals, Transgender, and Other Shades of the Rainbow

Nimbi

Ciocca

Limoncin

et al. 2020

Curr Sex Health Rep

View full text Add to dashboard Cite

Purpose of Review The purpose of this review is to summarize the current knowledge on sexual desire expressions, sexual orientation, and identity in understudied groups inside the LGBT+ community. Recent Findings Sexual desire and related problems have unique expressions in LGBT+ people which influence their sexual health. Emerging sex-positive approaches might be powerful and prominent tools to provide support and education on behalf of safer sex practices and marginalized sexualities. The importance of deepening LGBT+ sexualities and relationships, not only in lesbian women and gay men but also in all the other shades of the rainbow (bisexual, transgender, asexual, fluid, and non-binary/ genderqueer identities), is strongly highlighted. Summary A lack of literature regarding sexual desire in LGBT+ people is reported. Results are controversial and research is still limited on this topic, with little information available about sexual and health needs of sexual minorities beyond gay and lesbian people.

show abstract

“…Several limitations are noteworthy. First, prior research has considered gender affirmation treatment desire in relation to sexual functioning, 10 yet the present study did not evaluate whether TM participants desired body modifications or had unfulfilled gender affirmation desires. Second, this sample is restricted to TM adults eligible to undergo cervical cancer screening; thus, this study was unable to assess differences in sexual functioning in those who have and have not had genital surgery.…”

Section: Discussionmentioning

confidence: 92%

Initial Psychometric Evaluation of a Brief Sexual Functioning Screening Tool for Transmasculine Adults: Transmasculine Sexual Functioning Index

et al. 2020

View full text Add to dashboard Cite

Introduction Evaluation of sexual functioning in transmasculine (TM) adults—those who identify as men, male, transmen, or non-binary yet were assigned a female sex at birth—is limited by lack of availability of brief screening measures. Aim Study aims were to (i) conduct initial psychometric evaluation of a brief screening tool to assess sexual functioning in TM adults for easy use in outpatient visits, epidemiologic studies, and assessment of treatment and surgical outcomes and (ii) assess the correlates of sexual functioning. Methods The 6-item version of the Female Sexual Function Index was adapted and piloted for use with TM adults. The resulting scale, the Transmasculine Sexual Functioning Index (TM-SFI), was administered to 150 TM adults via computer-assisted self-interview. A multivariable model was fit to assess demographic, psychosocial, and gender affirmation correlates of sexual functioning. Main Outcome Measure The main outcomes of this study were the calculated reliability and validity of the TM-SFI and fit cumulative logit models to estimate associations of medical gender affirmation (chest surgery) and body image self-consciousness with level of sexual functioning. Results Internal consistency reliability was good (Cronbach's alpha = 0.80). Item correlations ranged from 0.21 to 0.80 ( P < .05). All scale items loaded onto a single factor (eigenvalue = 11.13; factor loadings > 0.50), evidence of good construct validity. After controlling for potential confounders, participants who had chest surgery exhibited significantly higher odds of being in the highest sexual functioning tertile relative to those without chest surgery (adjusted odds ratio = 2.46; 95% confidence interval = 1.08–5.64; P = .033). Moderate-to-high body image self-consciousness was associated with lower odds of sexual functioning (adjusted odds ratio = 0.42; 95% confidence interval = 0.18–0.94; P = .035). Conclusion Initial evaluation of the TM-SFI warrants formal psychometric validation against clinical diagnoses of sexual functioning concerns in TM patients. The brief screener can be used to assess sexual functioning in TM adults and may identify TM who could benefit from clinical interventions to improve sexual functioning. Reisner SL, Pletta DR, Potter J, et-al. Initial Psychometric Evaluation of a Brief Sexual Functioning Screening Tool for Transmasculine Adults: Transmasculine Sexual Functioning Index. J Sex Med 2020;8:350–360.

show abstract

Sexual Experiences in Transgender People: The Role of Desire for Gender-Confirming Interventions, Psychological Well-Being, and Body Satisfaction

Cited by 71 publications

References 24 publications

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

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

Sexual Desire and Fantasies in the LGBT+ Community: a Focus on Bisexuals, Transgender, and Other Shades of the Rainbow

Initial Psychometric Evaluation of a Brief Sexual Functioning Screening Tool for Transmasculine Adults: Transmasculine Sexual Functioning Index

Contact Info

Product

Resources

About