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Evaluation of Sexual Function of Transgender Individuals

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The current study sought to evaluate the sexual function of transgender men and women and to identify associated factors.


Trans individuals who were outpatients at our gender incongruence (GI) center for follow-up of gender-affirming hormone therapy with age ranging 27 to 50 years were invited to participate in this cross-sectional study. Clinical data were collected from the medical records. Two scales, the Female Sexual Function Index (FSFI) and the Male Sexual Function Index (MSFI), were administered to all females (n = 50) and all males (n = 58). Each participant also responded to a semi-structured questionnaire that assessed feelings regarding being transgender and satisfaction with sexual life.


Relative to trans women, trans men had a higher total FSFI score, and higher scores in the FSFI domains of arousal, lubrication, orgasm, and satisfaction (all p < 0.01), and in the total MSFI score, and higher scores in the MFSI domains of arousal, erection, orgasm, and satisfaction (all p < 0.01). A separate semi-structured evaluation indicated that more than half of the trans men and almost half of the trans women were satisfied or very satisfied with their sexual life.


The total scores from the FSFI and MSFI indicated a high risk of sexual dysfunction in trans men and especially, in trans women. However, the semi-structured evaluation showed that more than half of the trans men and almost half of the trans women were satisfied with their sexual life.

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The study was approved by the ethics committee of Ribeirao Preto Medical School/University of Sao Paulo, under the number CAAE of 29969419.8.0000.5440.

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Authors and Affiliations



T.M.R.B.: conceived and designed the analysis, collected the data, wrote the paper, performed the analysis; L.G.O.B.: contributed to analysis of the data and reviewed the paper; C.H.J.: contributed to analysis of the data and reviewed the paper. S.A.F.: contributed to collecting the data and reviewed the paper; J.K.T.: contributed to collecting the data and reviewed the paper; R.A.F.: reviewed the paper; L.A.S.L.: advisor, conceived and designed the analysis, collected the data, wrote the paper, and performed the analysis.

Corresponding author

Correspondence to Thays Marina Roncato Barcelos.

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Handling Editor: Rufus Cartwright

Editor in Chief: Maria A. Bortolini

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All the participants attended the Gender Incongruence Outpatient Clinic of Ribeirão Preto Medical School (FMRP), University of São Paulo (USP) from 15 February 2020 to 15 February 2022. This study was approved by the Research Ethics Committee of the Clinical Hospital of Ribeirão Preto Medical School (RPMS) of the University of São Paulo (USP), CAAE 29969419.8.0000.5440

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Barcelos, T.M.R., de Oliveira Brito, L.G., Jorge, C.H. et al. Evaluation of Sexual Function of Transgender Individuals. Int Urogynecol J (2024).

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