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Updated: Sep 25, 2025

Establishment of Rat Models Mimicking Gender-affirming Hormone Therapies
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Avoiding Assumptions: Sexual Function in Transgender and Non-Binary Individuals.

Natalia Whitney1, Ankhita Samuel2, Laura Douglass3

  • 1Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL, USA.

The Journal of Sexual Medicine
|April 25, 2022
PubMed
Summary
This summary is machine-generated.

A new definition and measurement tool for sexual function in transgender and non-binary (TGNB) individuals is needed. Adapting cis-gender tools risks inaccurate conclusions and further healthcare barriers for the TGNB community.

Keywords:
EvaluationNon-BinarySexual DysfunctionStandardTransgender

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Area of Science:

  • Sexual medicine
  • Gender-affirming care
  • Health equity

Background:

  • A significant clinical gap exists in defining and evaluating sexual function for transgender and non-binary (TGNB) individuals.
  • Current proposals suggest modifying cis-gender sexual function tools, but this approach has limitations.

Purpose of the Study:

  • To highlight the need for a unique definition and measurement tool for TGNB sexual function.
  • To advocate for an inclusive approach in sexual medicine and gender-affirming care.

Main Methods:

  • Analysis of the current clinical gap in sexual function assessment for TGNB individuals.
  • Critique of adapting cis-gender heteronormative sexual function measurement tools.

Main Results:

  • Modifying cis-gender tools assumes a cis-gender baseline, potentially disrupting patient-provider relationships and leading to inaccurate scientific conclusions.
  • The lack of a specific definition and tool for TGNB sexual function perpetuates stigma and healthcare barriers.
  • Failure to address TGNB sexual health needs contradicts medical values of equity and compassion.

Conclusions:

  • A uniquely developed definition and measurement tool for sexual function in TGNB individuals is essential.
  • Optimized care requires a kinder, more inclusive approach to maximize quality of life and equity for the TGNB community.