Archives of Sexual Behavior

, Volume 22, Issue 2, pp 145–155

Orgasm in the postoperative transsexual

  • Harold I. Lief
  • Lynn Hubschman

DOI: 10.1007/BF01542363

Cite this article as:
Lief, H.I. & Hubschman, L. Arch Sex Behav (1993) 22: 145. doi:10.1007/BF01542363


The dearth of information regarding orgasm in postoperative transsexuals prompted the authors to study its prevalence. The sample consisted of 14 male-to-female (M—F) and 9 female-to-male (F—M) postoperative transsexuals. The relationship of orgasm to sexual and general satisfaction was explored via a specially designed questionnaire. Orgastic capacity declined in the M—F group and increased in the (F—M) group. Despite the decrease in orgasm in the M—F group, satisfaction with sex and general satisfaction with the results of surgery were high in both groups. General satisfaction of 86% replicates other studies. Frequency of sex increased by 75% in the M—F group and by 100% in the F—M group. A phalloplasty does not appear to be a critical factor in orgasm or in sexual satisfaction. The general conclusion is reached that it is possible to change one's body image and sexual identity and be sexually satisfied despite inadequate sexual functioning.

Key words

transsexual postoperative orgasm sexual satisfaction outcome studies 

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Harold I. Lief
    • 1
  • Lynn Hubschman
    • 2
  1. 1.(Emeritus) Pennsylvania HospitalUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  2. 2.Formerly of the Social Services DepartmentPennsylvania HospitalUSA
  3. 3.Garfield Duncan BuildingPhiladelphiaUSA

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