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Current Sexual Health Reports
Published in: Current Sexual Health Reports 4/2020

01-12-2020 | Dysthymic Disorder | Male and Female Surgical Interventions (C Carson & P Selph, Section Editors)

Sexual Function After Gender-Affirming Genital Reconstruction

Authors: Federico I. Tirapegui, Ömer Acar, Ervin Kocjancic

Published in: Current Sexual Health Reports | Issue 4/2020

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Abstract

Purpose of Review

This nonsystematic review aims to discuss the contemporary literature about sexual (dys)function in transgender population from the biopsychosocial model point of view, focusing on those patients who underwent gender-affirming genital reconstruction (GAGR).

Recent Findings

We analyzed the questionnaires and diagnostic tools that have been used to evaluate sexual health-related issues, including the non-specific ones and the ones specifically designed for transgender individuals. All aspects of sexual function including desire, arousal, orgasm, and pain have been shown to be influenced by GAGR.

Summary

Literature regarding sexual activity in trans women are diverse, showing increase, decrease, and no changes after genital surgery, while sexual satisfaction was shown to be highly related to self-image and self-esteem. Metoidioplasty and flap-based phalloplasty in trans men are successful in treating gender dysphoria, and improving quality of life which commonly lead to high satisfaction rates.
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Metadata
Title
Sexual Function After Gender-Affirming Genital Reconstruction
Authors
Federico I. Tirapegui
Ömer Acar
Ervin Kocjancic
Publication date
01-12-2020
Publisher
Springer US
Published in
Current Sexual Health Reports / Issue 4/2020
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-020-00294-0

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