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首页> 外文期刊>Archives of Sexual Behavior >Sexual and Physical Health After Sex Reassignment Surgery
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Sexual and Physical Health After Sex Reassignment Surgery

机译：性手术后的性健康和身体健康

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A long-term follow-up study of 55 transsexual patients (32 male-to-female and 23 female-to-male) post-sex reassignment surgery (SRS) was carried out to evaluate sexual and general health outcome. Relatively few and minor morbidities were observed in our group of patients, and they were mostly reversible with appropriate treatment. A trend toward more general health problems in male-to-females was seen, possibly explained by older age and smoking habits. Although all male-to-females, treated with estrogens continuously, had total testosterone levels within the normal female range because of estrogen effects on sex hormone binding globulin, only 32.1% reached normal free testosterone levels. After SRS, the transsexual person's expectations were met at an emotional and social level, but less so at the physical and sexual level even though a large number of transsexuals (80%) reported improvement of their sexuality. The female-to-males masturbated significantly more frequently than the male-to-females, and a trend to more sexual satisfaction, more sexual excitement, and more easily reaching orgasm was seen in the female-to-male group. The majority of participants reported a change in orgasmic feeling, toward more powerful and shorter for female-to-males and more intense, smoother, and longer in male-to-females. Over two-thirds of male-to-females reported the secretion of a vaginal fluid during sexual excitation, originating from the Cowper's glands, left in place during surgery. In female-to-males with erection prosthesis, sexual expectations were more realized (compared to those without), but pain during intercourse was more often reported.
机译：一项对55位变性患者（32位男性至女性和23位女性至男性）的性交后重分配手术（SRS）进行了长期随访研究，以评估性和总体健康状况。在我们的患者组中，观察到的发病率相对较小和较小，经过适当的治疗，它们大多数可以逆转。观察到男女之间更普遍的健康问题的趋势，这可能是由年龄较大和吸烟习惯造成的。尽管由于雌激素对性激素结合球蛋白的作用，所有接受雌激素连续治疗的男女之间总睾丸激素水平在正常女性范围内，但只有32.1％达到正常的游离睾丸激素水平。发生SRS后，尽管有大量的变性人（80％）表示性欲有所改善，但在情感和社会层面都满足了变性人的期望，但在身体和性方面却没有达到。女性对男性的自慰次数明显多于男性对女性，并且在女性对男性的群体中，女性更容易获得性满足，性兴奋和性高潮的趋势。大多数参与者报告了性高潮的感觉发生了变化，女性对男性的性高潮变得越来越厉害，而男性对女性的性高潮变得更加强烈，顺畅，而更长。超过三分之二的男性到女性报告说，在性兴奋过程中，阴道液的分泌来自手术过程中留在原处的考珀氏腺。在具有勃起假体的女性对男性中，性期望更高（与没有勃起的女性相比），但是性交时的疼痛更多地被报道。

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