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Case report: a man with breast dysphoria
1Department of Obstetrics and Gynecology, University Hospital, Groningen, The Netherlands.
Archives of Sexual Behavior
|April 1, 1990
Summary
A cisgender man seeking breast feminization achieved satisfaction and enhanced nipple sexual function through ethinylestradiol treatment. This case highlights non-surgical options for gender-affirming care and sexual enhancement.
Area of Science:
- Endocrinology
- Sexual Medicine
- Gender Studies
Background:
- A 31-year-old cisgender man desired breast and nipple feminization for personal fulfillment and enhanced sexual function.
- He did not identify as homosexual or transsexual but felt incomplete without female secondary sex characteristics.
- His wife supported his request for feminization treatment.
Observation:
- The patient underwent treatment with 0.150 mg of ethinylestradiol daily for 9 months.
- This resulted in moderate breast enlargement and increased nipple size, comparable to typical female nipples.
- The patient reported sustained satisfaction with his feminized breasts and improved nipple sexual function one year post-treatment.
Findings:
- Ethinylestradiol treatment led to significant breast and nipple feminization in a cisgender male.
- The feminization process enhanced the sexual function of the nipples, resulting in erection and ejaculation upon stimulation.
- The patient experienced increased sexual satisfaction attributed to the feminization of his breasts and nipples.
Implications:
- This case suggests that hormone therapy can be a viable option for individuals seeking gender-affirming physical changes for non-pathological reasons.
- It underscores the potential for medical interventions to address body image dissatisfaction and enhance sexual function.
- Further research is warranted to explore the psychological and physiological aspects of elective feminization in cisgender individuals.