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Sexual behavior of gender-dysphoric individuals before gender-confirming interventions: A European multicenter study

机译:性别认同障碍干预之前性别焦虑症患者的性行为:欧洲多中心研究

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摘要

A transsexual course of development that starts before puberty (early onset) or during or after puberty, respectively (late onset), may lead to diverse challenges in coping with sexual activity. The authors explored the sexual behavior of 380 adult male-to-female and female-to-male individuals diagnosed according to DSM-IV-TR criteria who had not yet undergone gender-confirming interventions. Data originated from the European Network for the Investigation of Gender Incongruence Initiative, conducted in Belgium, Germany, The Netherlands, and Norway. Information on outcome variables was collected using self-administered questionnaires at first clinical presentation. Compared with late-onset male-to-females, early-onset individuals tended to show sexual attraction toward males more frequently (50.5%), involve genitals less frequently in partner-related sexual activity, and consider penile sensations and orgasm as more negative. Early-onset female-to-males predominantly reported sexual attraction toward females (84.0%), whereas those with a late-onset more frequently showed other sexual attractions (41.7%). The study (a) shows that early- and late-onset male-to-females differ considerably with regard to coping strategies involving their body during sexual relations and (b) reveals initial insights into developmental pathways of late-onset female-to-males.
机译:变性发育过程分别在青春期之前(发病初期)或青春期期间或之后(发病后期)开始,可能会导致应对性活动的各种挑战。作者探讨了根据DSM-IV-TR标准诊断出的380名成年男性对女性和女性对男性的性行为,这些人尚未接受性别确认干预措施。数据来源于在比利时,德国,荷兰和挪威进行的欧洲性别不平等调查倡议网络。在第一次临床表现时使用自我管理的问卷收集有关结果变量的信息。与迟发的男女相比,早发的个体倾向于更频繁地表现出对男性的性吸引力(50.5%),生殖器参与伴侣相关性行为的频率更低,并且认为阴茎感觉和性高潮更为负面。早发的女性对男性主要表现出对女性的性吸引(84.0%),而晚发的女性则表现出其他性吸引(41.7%)。研究(a)显示,早起和晚发的男女之间在性关系期间涉及其身体的应对策略方面有很大差异,并且(b)揭示了对晚发男女之间发展途径的初步见解。

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