Homosexual and bisexual identity in sex-reassigned female-to-male transsexuals
Descriptions of female-to-male transsexuals who are sexually attracted to men are rare. This is a report on nine of them. Their awareness of gender dysphoria preceded their awareness of their attraction to men. Their wish to undergo sex reassignment as a means of resolving their gender dysphoria superseded any concerns about their sexual orientation or sexual adaptation after surgery. Several had had sexual relationships with men before sex reassignment which were unsatisfactory because these men viewed our subjects as women. After sex reassignment, the subjects successfully established sexual relationships with gay men; in some of them even penovaginal intercourse was part of their sexual activities. While hormonally and surgically reassigned, none of our subjects had had phalloplasty. All nine subjects were interviewed and given psychological tests measuring sexual satisfaction and psychological adjustment. Their results were compared to those of a group of self-identified gay men. No major differences in sexual satisfaction and psychological adaptation were found. The phenomenon of female-to-male transsexuals who develop a sexual orientation toward men may be more common than previously thought. Regarding female gender dysphoric individuals, our findings challenge the issue of using sexual orientation in classification systems of gender dysphoria syndromes and as a risk factor in the decision regarding sex reassignment. Further, our study invites us to rethink the genital criterion in the assessment of sexual orientation.
Key wordstranssexualism sexual orientation sexual identity
Unable to display preview. Download preview PDF.
- Blanchard, R. (1990). Gender identity disorders in adult women. In Blanchard, R., and Steiner, B. W. (eds.),Clinical Management of Gender Identity Disorders in Children and Adults American Psychiatric Press, Washington, DC.Google Scholar
- Blumstein, P. and Schwartz, P. (1990). Intimate relationships and the creation of sexuality. In McWhirter, D. P., Sanders, S. A., and Reinisch, J. M. (eds.),Homosexuality/Heterosexuality: Concepts of Sexual Orientation Oxford University Press, New York.Google Scholar
- Clare, D. (1984). Transhomosexuality. Proceedings of the Annual Conference of the British Psychological Society, University of Warwick, U.K.Google Scholar
- Clare, D. (1987). Transsexualism, gender dysphoria, and transhomosexuality. Unpublished study.Google Scholar
- Coleman, E. (1981/1982). Development stages of the coming out process.J. Homosex. 7: 31–43.Google Scholar
- Coleman, E. (1987). Assessment of sexual orientation. In Coleman, E. (ed.),Psychotherapy for Homosexual Men and Women Haworth Press, New York, pp. 9–24.Google Scholar
- Coleman, E., and Bockting, W. O. (1988). “Heterosexual” prior to sex reassignment, “homosexual” afterwards: A case study of a female to male transsexual.J. Psychol. Hum. Sex. 1: 69–82.Google Scholar
- Kinsey, A., Pomeroy, B., and Martin, C. (1948).Sexual Behavior in the Human Male W.B. Saunders, Philadelphia.Google Scholar
- Klein, F., Sepekoff, B., and Wolf, T. J. (1985). Sexual orientation: A multi-variable dynamic process.J. Homosex. 11: 35–49.Google Scholar
- Luteijn, F., and Kingma, L. (1979). Een nieuwe verkorte MMPI.Ned. Tijdschr. Psychol. 34: 459–471.Google Scholar
- Money, J. (1988).Gay, Straight and In Between: The Sexology of Erotic Orientation. Oxford University Press: New York.Google Scholar
- Pauly, I. (1990). Gender identity and sexual preference: Dependent versus independent variables. In Bianco, F. J., and Hernandez Serrano, R. (eds.),Sexology: An Independent Field Elsevier, Amsterdam.Google Scholar