Evaluation of Sexual Function of Transgender Individuals.

IF 1.8 3区 医学 Q3 OBSTETRICS & GYNECOLOGY International Urogynecology Journal Pub Date : 2024-08-01 Epub Date: 2024-07-09 DOI:10.1007/s00192-024-05857-6
Thays Marina Roncato Barcelos, Luiz Gustavo de Oliveira Brito, Cristine Homsi Jorge, Silvio Antonio Franceschini, Julia Kefalas Troncon, Rui Alberto Ferriani, Lucia Alves da Silva Lara
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Abstract

Purpose: The current study sought to evaluate the sexual function of transgender men and women and to identify associated factors.

Methods: Trans individuals who were outpatients at our gender incongruence (GI) center for follow-up of gender-affirming hormone therapy with age ranging 27 to 50 years were invited to participate in this cross-sectional study. Clinical data were collected from the medical records. Two scales, the Female Sexual Function Index (FSFI) and the Male Sexual Function Index (MSFI), were administered to all females (n = 50) and all males (n = 58). Each participant also responded to a semi-structured questionnaire that assessed feelings regarding being transgender and satisfaction with sexual life.

Results: Relative to trans women, trans men had a higher total FSFI score, and higher scores in the FSFI domains of arousal, lubrication, orgasm, and satisfaction (all p < 0.01), and in the total MSFI score, and higher scores in the MFSI domains of arousal, erection, orgasm, and satisfaction (all p < 0.01). A separate semi-structured evaluation indicated that more than half of the trans men and almost half of the trans women were satisfied or very satisfied with their sexual life.

Conclusions: The total scores from the FSFI and MSFI indicated a high risk of sexual dysfunction in trans men and especially, in trans women. However, the semi-structured evaluation showed that more than half of the trans men and almost half of the trans women were satisfied with their sexual life.

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变性人的性功能评估。
目的:本研究旨在评估变性男性和女性的性功能,并确定相关因素:这项横断面研究邀请了在我们的性别不协调(GI)中心接受性别确认激素治疗随访的变性人参加,他们的年龄在 27 岁至 50 岁之间。研究人员从病历中收集了临床数据。研究人员对所有女性(50 人)和男性(58 人)分别进行了女性性功能指数(FSFI)和男性性功能指数(MSFI)问卷调查。每位受试者还回答了一份半结构式问卷,以评估对变性的感受和对性生活的满意度:与变性女性相比,变性男性的 FSFI 总分更高,在唤起、润滑、性高潮和满意度等 FSFI 领域的得分也更高(均为 p 结论:与变性女性相比,变性男性的 FSFI 总分更高,在唤起、润滑、性高潮和满意度等 FSFI 领域的得分也更高(均为 p):FSFI 和 MSFI 的总分表明,变性男性尤其是变性女性出现性功能障碍的风险很高。不过,半结构化评估显示,超过半数的变性男性和近半数的变性女性对自己的性生活感到满意。
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来源期刊
CiteScore
3.80
自引率
22.20%
发文量
406
审稿时长
3-6 weeks
期刊介绍: The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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