使用一种新且经过验证的调查工具来分析跨性别者的阴道整形术后的性功能
Alyxandra Ramsay1, Jo Blankson1, Lara Finnerty-Haggerty2
1Mount Sinai Heath System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA.
Sexual health
|January 30, 2025
概括
性别确认手术 (GAS) 在跨性别患者中显著改善了性功能和阴道健康. 患者报告的结局在六个月后有所改善,在手术后十二个月没有进一步的变化.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 肯定性别的护理.
- 患者报告的结果
背景情况:
- 变性患者经常面临边缘化和有限的获得质量性别确认手术 (GAS).
- 现有的GAS数据依赖于方便样本,大多数美国研究是横截面的.
- 需要更好地了解GAS的自我评估经验和功能结果.
研究的目的:
- 分析阴道整形术后跨性别患者生殖器的功能.
- 为了评估患者报告的与性活动和阴道健康相关的结果,女性化后GAS.
主要方法:
- 在手术前和手术后2周,6个月和12个月,对306名跨性别患者进行了验证的调查.
- 使用McNemar和Wilcoxon签名等级测试来比较术前和术后的反应.
- 患者报告的结果侧重于阴茎的感觉,愉快的刺激,性活动和身体舒适.
主要成果:
- 五个关键指标在GAS后2周至6个月之间显著改善.
- 这些包括改善的阴蒂感觉 (P=0.031),愉快的刺激频率 (P=0.018) 和减少唇部刺激 (P=0.051).
- 在6个月和12个月的反应之间没有发现显著差异,这表明结果稳定.
结论:
- 阴道整形术可以显著改善跨性别者的性活动和阴道功能.
- 患者报告的结果表明,GAS后性活动的成功率很高.
- 六个月似乎是一个最佳的时间点来评估阴道造形术后患者感知的结果.
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