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Sexual Desire in Trans Persons: Associations with Sex Reassignment Treatment

机译:跨性别者的性欲:与性别再分配治疗的关联

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Introduction: Sex steroids and genital surgery are known to affect sexual desire, but little research has focused on the effects of cross-sex hormone therapy and sex reassignment surgery on sexual desire in trans persons. Aim: This study aims to explore associations between sex reassignment therapy (SRT) and sexual desire in a large cohort of trans persons. Methods: A cross-sectional single specialized center study including 214 trans women (male-to-female trans persons) and 138 trans men (female-to-male trans persons). Main Outcome Measures: Questionnaires assessing demographics, medical history, frequency of sexual desire, hypoactive sexual desire disorder (HSDD), and treatment satisfaction. Results: In retrospect, 62.4% of trans women reported a decrease in sexual desire after SRT. Seventy-three percent of trans women never or rarely experienced spontaneous and responsive sexual desire. A third reported associated personal or relational distress resulting in a prevalence of HSDD of 22%. Respondents who had undergone vaginoplasty experienced more spontaneous sexual desire compared with those who planned this surgery but had not yet undergone it (P=0.03). In retrospect, the majority of trans men (71.0%) reported an increase in sexual desire after SRT. Thirty percent of trans men never or rarely felt sexual desire; 39.7% from time to time, and 30.6% often or always. Five percent of trans men met the criteria for HSDD. Trans men who were less satisfied with the phalloplasty had a higher prevalence of HSDD (P=0.02). Trans persons who were more satisfied with the hormonal therapy had a lower prevalence of HSDD (P=0.02). Conclusion: HSDD was more prevalent in trans women compared with trans men. The majority of trans women reported a decrease in sexual desire after SRT, whereas the opposite was observed in trans men. Our results show a significant sexual impact of surgical interventions and both hormonal and surgical treatment satisfaction on the sexual desire in trans persons.
机译:简介:众所周知,性类固醇和生殖器手术会影响性欲,但很少有研究集中在跨性别激素疗法和性交手术对跨性别者性欲的影响上。目的:本研究旨在探讨在大批跨性别人群中,性别再分配治疗(SRT)与性欲之间的关联。方法:一项横断面的单一专业中心研究,包括214名跨性别妇女(男性至女性跨性别者)和138名跨性别男人(女性至男性跨性别者)。主要指标:调查问卷,评估人口统计学,病史,性欲频率,性欲减退(HSDD)和治疗满意度。结果:回顾起来,有62.4%的跨性别女性报告说SRT后性欲降低。 73%的跨性别女性从未或很少经历过自发性和反应性性欲。三分之一的人报告了相关的个人或关系困扰,导致HSDD患病率为22%。与计划进行此手术但尚未进行手术的人相比,接受阴道成形术的被访者有更多的自发性欲(P = 0.03)。回顾过去,大多数跨性别男人(71.0%)报告说,SRT后性欲增加。 30%的跨性别男人从未或很少感到性欲;不时39.7%,经常或总是30.6%。百分之5%的跨性别者符合HSDD的标准。对阴茎成形术不满意的跨性别男人的HSDD患病率较高(P = 0.02)。对荷尔蒙疗法更满意的跨性别者的HSDD患病率较低(P = 0.02)。结论:与跨性别男人相比,跨性别女人的HSDD更为普遍。多数跨性别女性报告说SRT后性欲降低,而跨性别男性则相反。我们的研究结果表明,外科手术干预对性的重大影响以及激素和外科治疗满意度对跨性别者性欲的影响。

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