Archives of Sexual Behavior

, Volume 34, Issue 6, pp 679–690

Sexual and Physical Health After Sex Reassignment Surgery

Authors

    • Department of Sexology and Gender ProblemsUniversity Hospital Ghent
    • Department of Sexology and Gender ProblemsUniversity Hospital Ghent
  • Guy TSjoen
    • Department of EndocrinologyUniversity Hospital Ghent
  • Ruth Beerten
    • Department of Sexology and Gender ProblemsUniversity Hospital Ghent
    • Institute of Family and Sexuality Studies
  • Gennaro Selvaggi
    • Department of Plastic SurgeryUniversity Hospital Ghent
  • Petra De Sutter
    • Department of GynaecologyUniversity Hospital Ghent
  • Piet Hoebeke
    • Department of UrologyUniversity Hospital Ghent
  • Stan Monstrey
    • Department of Plastic SurgeryUniversity Hospital Ghent
  • Alfons Vansteenwegen
    • Institute of Family and Sexuality Studies
  • Robert Rubens
    • Department of Sexology and Gender ProblemsUniversity Hospital Ghent
    • Department of EndocrinologyUniversity Hospital Ghent
Article

DOI: 10.1007/s10508-005-7926-5

Cite this article as:
De Cuypere, G., TSjoen, G., Beerten, R. et al. Arch Sex Behav (2005) 34: 679. doi:10.1007/s10508-005-7926-5

Abstract

A long-term follow-up study of 55 transsexual patients (32 male-to-female and 23 female-to-male) post-sex reassignment surgery (SRS) was carried out to evaluate sexual and general health outcome. Relatively few and minor morbidities were observed in our group of patients, and they were mostly reversible with appropriate treatment. A trend toward more general health problems in male-to-females was seen, possibly explained by older age and smoking habits. Although all male-to-females, treated with estrogens continuously, had total testosterone levels within the normal female range because of estrogen effects on sex hormone binding globulin, only 32.1% reached normal free testosterone levels. After SRS, the transsexual person's expectations were met at an emotional and social level, but less so at the physical and sexual level even though a large number of transsexuals (80%) reported improvement of their sexuality. The female-to-males masturbated significantly more frequently than the male-to-females, and a trend to more sexual satisfaction, more sexual excitement, and more easily reaching orgasm was seen in the female-to-male group. The majority of participants reported a change in orgasmic feeling, toward more powerful and shorter for female-to-males and more intense, smoother, and longer in male-to-females. Over two-thirds of male-to-females reported the secretion of a vaginal fluid during sexual excitation, originating from the Cowper's glands, left in place during surgery. In female-to-males with erection prosthesis, sexual expectations were more realized (compared to those without), but pain during intercourse was more often reported.

Key Words

transsexualismgender identity disordersexual functioningorgasmsex reassignment surgery

Copyright information

© Springer Science + Business Media, Inc. 2005