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Orgasm in the postoperative transsexual

H I Lief1, L Hubschman

  • 1University of Pennsylvania School of Medicine, (Emeritus) Pennsylvania Hospital, Philadelphia.

Archives of Sexual Behavior
|April 1, 1993
PubMed
Summary
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Postoperative orgasm capacity varied between male-to-female and female-to-male transsexuals. Despite changes in orgasm, both groups reported high sexual and general satisfaction after gender confirmation surgery.

Area of Science:

  • Sexology
  • Gender Studies
  • Psychology

Background:

  • Limited research exists on orgasm and satisfaction in postoperative transsexual individuals.
  • Understanding sexual function post-transition is crucial for holistic care.

Purpose of the Study:

  • To investigate the prevalence of orgasm in postoperative transsexuals.
  • To explore the relationship between orgasm, sexual satisfaction, and general satisfaction after gender confirmation surgery.

Main Methods:

  • A questionnaire was administered to 14 male-to-female (M-F) and 9 female-to-male (F-M) postoperative transsexuals.
  • Data collected focused on orgastic capacity, sexual frequency, and satisfaction levels.

Main Results:

  • Orgastic capacity decreased in the M-F group but increased in the F-M group.

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  • Despite decreased orgasm in M-F individuals, both groups reported high sexual and general satisfaction (86%).
  • Sexual frequency increased significantly in both M-F (75%) and F-M (100%) groups.

    • Conclusions:

    • Phalloplasty is not a critical determinant of orgasm or sexual satisfaction.
    • High sexual and general satisfaction are achievable post-transition, even with altered sexual functioning.
    • Successful body image and sexual identity changes can lead to sexual satisfaction.