Article

Long-term Assessment of the Physical, Mental, and Sexual Health among Transsexual Women

Department of Gynaecology, University Hospital of Ghent, Ghent, Belgium.
Journal of Sexual Medicine (Impact Factor: 3.15). 12/2008; 6(3):752-60. DOI: 10.1111/j.1743-6109.2008.01082.x
Source: PubMed

ABSTRACT Transsexualism is the most extreme form of gender identity disorder and most transsexuals eventually pursue sex reassignment surgery (SRS). In transsexual women, this comprises removal of the male reproductive organs, creation of a neovagina and clitoris, and often implantation of breast prostheses. Studies have shown good sexual satisfaction after transition. However, long-term follow-up data on physical, mental and sexual functioning are lacking.
To gather information on physical, mental, and sexual well-being, health-promoting behavior and satisfaction with gender-related body features of transsexual women who had undergone SRS.
Fifty transsexual women who had undergone SRS >or=6 months earlier were recruited.
Self-reported physical and mental health using the Dutch version of the Short-Form-36 (SF-36) Health Survey; sexual functioning using the Dutch version of the Female Sexual Function Index (FSFI). Satisfaction with gender-related bodily features as well as with perceived female appearance; importance of sex, relationship quality, necessity and advisability of gynecological exams, as well as health concerns and feelings of regret concerning transition were scored.
Compared with reference populations, transsexual women scored good on physical and mental level (SF-36). Gender-related bodily features were shown to be of high value. Appreciation of their appearance as perceived by others, as well as their own satisfaction with their self-image as women obtained a good score (8 and 9, respectively). However, sexual functioning as assessed through FSFI was suboptimal when compared with biological women, especially the sublevels concerning arousal, lubrication, and pain. Superior scores concerning sexual function were obtained in those transsexual women who were in a relationship and in heterosexuals.
Transsexual women function well on a physical, emotional, psychological and social level. With respect to sexuality, they suffer from specific difficulties, especially concerning arousal, lubrication, and pain.

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    • "The combination of greater general social support and higher relationship satisfaction predicted fewer symptoms of depression , stress and anxiety for trans participants in the current study. This finding aligns with previous literature highlighting the importance of having healthy romantic relationships and positive social support for trans and LGB persons (Blair & Holmberg, 2008; Kurdek, 2003, 2004; Weyers et al., 2009). "
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    The Canadian journal of human sexuality 05/2014; in press. DOI:10.3138/cjhs.2378
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    • "In the past few decades , the literature has addressed trans - sexual patients ' quality of life , satisfaction and various other outcomes such as sexual functioning after sex reas - signment surgery ( Bonierbale et al . , 2004 ; Klein and Gor - zalka , 2009 ; Weyers et al . , 2009 ) . Few data are available regarding the role of hormonal therapy in the well - being of transsexual patients without sex reassignment surgery . How - ever , these data should provide relevant information for Table 4 Means , standard deviations and prevalence of symptoms of depression measured with SDS scale in transsexual patients befo"
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    • "These results are in accordance with recent investigations. Weyers et al. (2009) found that MF transsexuals who had undergone SR surgery function well on a physical, emotional, psychological, and social level, compared with reference population. Moreover, results from our group found that the majority of transsexual patients attending the gender unit were free of psychopathology according to the MMPI (Gómez-Gil et al., 2008). "
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