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Sexual Dysfunction in Transgender People: A Systematic Review
Natnita Mattawanon1, Kittipat Charoenkwan1, Vin Tangpricha2
1Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, 110 Intawaroros road, Chiang Mai 50200, Thailand.
The Urologic Clinics of North America
|October 4, 2021
Summary
Gender-affirming care, including hormone therapy and surgery, is common for transgender individuals. This review found sexual dysfunction is prevalent but may improve with treatment, highlighting the need for more research on transgender sexual health.
Area of Science:
- Endocrinology
- Sexual Medicine
- Transgender Health
Background:
- Transgender individuals may pursue gender-affirming hormone therapy (GAHT) and gender-affirming surgery (GAS) to align their physical characteristics with their gender identity.
- The impact of GAHT and GAS on the sexual health of transgender populations remains incompletely understood.
- Sexual health encompasses desire, arousal, orgasm, pain, and satisfaction, all of which can be affected by gender transition.
Purpose of the Study:
- To systematically review and evaluate the existing scientific literature on sexual health outcomes in transgender men and women.
- To assess changes in sexual desire, arousal, orgasm, pain, and satisfaction before, during, and after gender transition.
- To identify gaps in current research regarding sexual health in transgender individuals undergoing gender affirmation.
Main Methods:
- Systematic review of scientific literature.
- Appraisal of studies examining sexual function in transgender populations.
- Analysis of data related to sexual desire, arousal, orgasm, pain, and satisfaction.
Main Results:
- Sexual dysfunction is frequently observed in both transgender men and transgender women.
- Gender-affirming hormone therapy and gender-affirming surgery show potential for improving sexual satisfaction.
- The current body of research is limited, necessitating further investigation.
Conclusions:
- Sexual dysfunction is a significant concern for transgender individuals undergoing gender affirmation.
- Gender-affirming interventions may positively influence sexual satisfaction, but more research is required.
- There is an urgent need for comprehensive studies focusing on the sexual health of the transgender population.
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