Susanne Cerwenka's research while affiliated with University Medical Center Hamburg - Eppendorf and other places

Publications (27)

Article
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Background: Against the backdrop of rising STI incidence among the heterosexual population, sexually active single people are at particularly high STI transmission risk. Gaining insight into circumstances related to condoms non-use in this population is therefore important for developing effective health interventions. Methods: The nationally-repre...
Article
Background Orgasm occurrence plays an important role in general sexual satisfaction for women. Until now, only few studies have focused on examining a broad spectrum of sexuality- and relationship-specific factors associated with orgasm in heterosexual women currently in a long-term relationship or on differences between the overall experience of o...
Article
Until 2020, there was no representative sex survey for Germany with published data. The GeSiD study “Health and Sexuality in Germany” is the first nationwide, representative sex survey. The aim of this paper is to provide a brief introduction to the German health and sexuality (GeSiD) survey.A total of 4955 persons (2336 men, 2619 women) aged 18–75...
Article
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Zusammenfassung Hintergrund Sexuell übertragbare Infektionen (STI) sind ein relevanter Risikofaktor für die sexuelle Gesundheit des Einzelnen und der Bevölkerung. Für eine zielgruppenspezifische Präventionsarbeit ist der Wissensstand zu STI in verschiedenen Bevölkerungsgruppen daher von besonderem Interesse. Ziel Ziel der vorliegenden Arbeit ist...
Article
The German Health and Sexuality Survey (GeSiD) was carried out in 2018/2019 to provide up-to-date measures of sexual behavior, sexual attitudes and sexual lifestyles of the adult population. We describe the methods used in GeSiD which surveyed the general population in Germany aged 18–75 years (with oversampling of younger adults aged 18–35 years)....
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Background: Physical and mental health disorders can markedly affect sexual activity and sexual satisfaction. Until now, there has been a lack of representative data from the German population that could serve as a basis for demonstrating specific links between sexuality and health. Methods: In the German Health and Sexuality Survey (GeSiD), 495...
Article
Zusammenfassung Ziele der Studie Bislang fehlten für Deutschland breit angelegte, bevölkerungsrepräsentative Daten zur Analyse von Lebenszeit-Erfahrungen heterosexueller Erwachsener mit verschiedenen sexuellen Praktiken. Generationenunterschiede wurden daraufhin untersucht, ob sich bestimmte sexuelle Erfahrungen in der Generation der 18- bis 30-Jäh...
Article
Zusammenfassung Einleitung Geschlechtsdysphorie (GD) bezeichnet einen Leidensdruck, der sich aus der Inkongruenz zwischen körperlichen Geschlechtsmerkmalen und dem Erleben des eigenen Geschlechts ergeben kann (Geschlechtsinkongruenz, GI). Die vorliegende Arbeit beschäftigt sich mit dem Zusammenspiel von medizinischer Behandlung und sozialer Unterst...
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Zusammenfassung Einleitung: Nach aktueller Forschungslage empfiehlt sich die Erfassung der Vielfältigkeit sexueller Orientierungen über die Dimensionen sexuelle Identität, sexuelle Attraktion und sexuelles Verhalten, zumal empirische Studien zeigen, dass für einen Anteil von Personen die Dimensionen nicht kongruent (übereinstimmend) beantwortet wer...
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We assessed the outcomes of gender affirming surgery (GAS or sex reassignment surgery) four to six years after first clinical contact, and the associations between postoperative (dis)satisfaction and Quality of Life (QoL). Our multicenter, cross-sectional follow-up study involved persons diagnosed with Gender Identity Disorder (DSM-IV-TR) who appli...
Article
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Objectives: The aim of the European Network for the Investigation of Gender Incongruence is to investigate the status of all individuals who had applied for gender confirming interventions from 2007 until 2009, irrespective of whether they received treatment. The current article describes the study protocol, the effect of medical treatment on gend...
Article
Norms are considered to influence expectations toward gender-related behavior. Deviations from these norms are often perceived negatively by the social environment. The objective of this study was to investigate adults diagnosed with a Gender Identity Disorder (GID), their recalled play behavior, and peer preferences in childhood and adolescence. D...
Article
The alteration of sex-specific body features and the establishment of a satisfactory body image are known to be particularly relevant for individuals with Gender Dysphoria (GD). The aim of the study was to first develop new scales and examine the psychometric properties of the Hamburg Body Drawing Scale (Appelt & Strauß 1988). For the second part o...
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This study examined two instruments measuring gender dysphoria within the multicenter study of the European Network for the Investigation of Gender Incongruence (ENIGI). The Utrecht Gender Dysphoria Scale (UGDS) and the Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA) were examined for their definitions of gender...
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Gender dysphoria (GD) is often accompanied by dissatisfaction with physical appearance and body image problems. The aim of this study was to compare body satisfaction with perceived appearance by others in various GD subgroups. Data collection was part of the European Network for the Investigation of Gender Incongruence. Between 2007 and 2012, 660...
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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 y...
Article
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Objectives: This study focuses on sexual health aspects in partnered gender-dysphoric individuals at the start of medical treatment by examining their partnership constellations, sexual experiences, and reports of psychological problems. Methods: As part of the cross-national European Network for the Investigation of Gender Incongruence Study, 168...
Article
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Research into the relationship between gender identity disorder and psychiatric problems has shown contradictory results. To investigate psychiatric problems in adults fulfilling DSM-IV-TR criteria for a diagnosis of gender identity disorder. Data were collected within the European Network for the Investigation of Gender Incongruence using the Mini...
Article
Full-text available
Diverse partner relationship constellations of gender dysphoric women and men with different sexual orientations are explored in a sample of 93 persons before gender-confirming interventions in persons with female gender identity and male body characteristics (MF) and persons with male gender identity and female body characteristics (FM). While in...
Article
Einleitung: Die Diagnose des Mayer-Rokitansky-Kuster-Hauser Syndrom (MRKHS) wird gestellt bei Frauen mit XX-Karyotyp, bei denen aufgrund von Veranderungen in der Embryonalentwicklung eine Aplasie von Vagina und Uterus vorliegt, funktionsfahigen Ovarien und ansonsten unauffalligen weiblichen Geschlechtsmerkmalen. Erste Studien weisen auf eine erhoht...
Article
MRKHS (Pravalenz 1: 5000) beschreibt eine angeborene Uterus- und Vaginalaplasie. Masgebliche Merkmale sind, dass die Patientinnen steril sind und dass ein Koitus nicht ohne medizinische Eingriffe moglich ist. Beim PCOS ist durch erhohte Androgenspiegel die Fruchtbarkeit eingeschrankt, das ausere Erscheinungsbild ist durch die Androgenwirkung beeinf...
Article
With regard to transsexual developments, onset age (OA) appears to be the starting point of different psychosexual pathways. To explore differences between transsexual adults with an early vs. late OA. Data were collected within the European Network for the Investigation of Gender Incongruence using the Dutch Biographic Questionnaire on Transsexual...

Citations

... Orgasm, being one of the human sexual response phases, has been considered an indicator of sexual functioning, one goal for sexual activities and an important source of SS [58,59]. Research on orgasm is rich and varied, although sometimes controversial: e.g., some results show that many women do not consider it central for their valuation of SS [60], while others have found that women who consider orgasm to be important are more likely to experience orgasms compared to those who think that it is not important to them [61]. ...
... 10,18 Non-use of condoms was more prevalent in people in mid-and older life than in younger ages, a finding observed in numerous international studies on general condom-use, too. 8,9,11,12,21 The relatively low importance of needing to prevent unintended pregnancies in middle-aged and older adults, 10 as well as less awareness and/or knowledge of STI risks relative to the younger generation, as indicated by another analysis within the GeSiD-study, 22 and reflecting how interventions including STI screening predominantly target younger people, 3 are possible explanations for greater sexual risk-taking in advanced ages at least according to this measure. In large studies from other countries, gender, 23 education 11,24 as well as ethnicity in women 8,11 were shown to be associated with condom-use. ...
... Young adults aged 18-35 years, the part of the population that is most sexually active and most vulnerable to sexually transmitted infections, were oversampled to enable more detailed insights into sexual risk taking and the associated reproductive and sexual health outcomes. The dataset was weighted for age, gender, education, nationality, and region to be broadly representative of the adult German population (for a detailed description of the GeSiD study methodology, see Matthiesen et al., 2021). Calculated according to the 2016 guidelines of the American Association for Public Opinion Research (AAPOR), which were adapted for use in the context of German public opinion surveys (Stadtmüller et al., 2019), the study response rate was 30.2%. ...
... There have been studies that present a nonstandardized method in their analyses [5], with a qualitative approach [10,11] or focused on patients [19]. However, no standardized questionnaires have been found to assess family physicians' work regarding sexuality quantitatively. ...
... Außerdem zeigte sich, dass eine Interviewstudie hinsichtlich verschiedener Parameter wie Datenqualität und Anteil der Nichtteilnehmenden einer postalischen Versendung von Fragebögen überlegen ist. Schließlich erbrachte die Vorstudie erste interessante Ergebnisse zum Beispiel zum Thema sexuelle Orientierungen oder sexuelle Praktiken [10,11]. Der Durchführung der Interviews im Rahmen der GeSiD-Studie in den Jahren 2018 und 2019 stand damit nichts mehr im Wege. ...
... Hierzu sind zunächst die »Standards of Care« (SoC) der World Professional Association for Transgender Health (WPATH) zu nennen, die 2011 in ihrer siebten Version herausgegeben wurden (Coleman et al., 2012;in deutscher Übersetzung: Richter-Appelt & Nieder, 2014). Seit 2018 wird bereits an der achten Version gearbeitet, diesmal von einer Arbeitsgruppe, die internationaler und trans-inklusiver besetzt ist als bei den vorherigen SoC-die für alle Behandlungssuchenden gleichermaßen gelten sollen (Nieder et al., 2014b). Diese Begutachtungsrichtlinie hat zu einer Vielzahl von Problemen für Behandlungssuchende wie Behandelnde geführt (Hamm & Sauer, 2014 ...
... Ohne Modifikation der primären und/oder sekundären Geschlechtsmerkmale ist für viele trans Personen eine Reduktion bzw. Linderung der GIK/GD und eine Verbesserung psychischer Belstungen nicht erreichbar [2,20]. Andere trans Personen wiederum wollen keine oder nur ausgewählte somatische Behandlungen in Anspruch nehmen und erleben bereits eine signifikante Symptomentlastung, wenn sie entsprechend ihres Geschlechts selbstbestimmt leben können [21,22]. ...
... Nach KiGGS Welle 1 die Sex mit Frauen hat, nicht unbedingt als lesbisch oder bisexuell begreifen [17]. Bei den verschiedenen Dimensionen der sexuellen Orientierung handelt es sich nicht um starre Kategorien, sondern um wandelbare und über die Lebenszeit veränderliche Phänomene [19]. ...
... 3 Top surgery (ie, mastectomy or reduction) is a common gender-affirming surgery sought by TGNB DFAB individuals and has been shown to improve chest dysphoria and quality of life in adults. [7][8][9] Top surgery among TGNB DFAB patients increased 15% in 2020 compared with 2019. 10 While outcomes of top surgery in adults are well reported, outcomes in youth are not well described. ...
... Research studies, meta-analyses and systematic reviews have consistently found that medical interventions directly reduce gender dysphoria, depression and anxiety symptoms, and general psychological distress, as well as improve self-esteem and quality of life 157,[164][165][166][167][168][169][170][171][172][173][174][175][176][177][178][179][180] . With the links between disordered eating and negative body image 120,181 , gender-affirming interventions have also been associated with reduced risk for disordered eating. ...