Abstract
Purpose of Review
The goal of the current publication was to review literature on sexual pleasure in transgender people published in the past 3 years. An additional aim of the review was to determine whether recent literature differed from the traditionally narrow focus of transgender sexual health research, which has clustered almost exclusively in three topics: (1) orgasmic potential for transgender people who have undergone gender-affirmative genital surgery, (2) sexual desire in relation to gender-affirmative hormone therapy, and (3) HIV-related risk.
Recent Findings
Twelve recent studies were included in the review. The disciplinary focus of the articles included biomedical interventions, including sexual pleasure in relation to gender-affirmative hormone therapy and surgeries; psychology/sexology, including basic and applied research on transgender people’s sexual pleasure and health; sex education, including pleasure-based and transgender-inclusive curricula; and HIV and sexual health, including the role of sexual pleasure in facilitating or preventing disease transmission.
Summary
Recent literature builds upon existing bodies of research in meaningful ways. However, the subject matter of recent literature did not stray from the traditionally narrow focus of this research area. Additionally, the vast majority of research was conducted in wealthy, industrialized countries (mostly North America and the Netherlands). Implications for research and clinical practice are explored.
This is a preview of subscription content, access via your institution.
References
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
Bauer GR, Hammond R. Toward a broader conceptualization of trans women’s sexual health. Can J Hum Sex. 2015;24:1–11. https://doi.org/10.3138/cjhs.24.1-CO1.
Devor H. Sexual orientation identities, attractions, and practices of female-to-male transsexuals. J Sex Res. 1993;30:303–15. https://doi.org/10.1080/00224499309551717.
Kuper LE, Nussbaum R, Mustanski B. Exploring the diversity of gender and sexual orientation identities in an online sample of transgender individuals. J Sex Res. 2012;49:244–54. https://doi.org/10.1080/00224499.2011.596954.
Bauer GR, Hammond R, Travers R, Kaay M, Hohenadel KM, Boyce M. “I don’t think this is theoretical; this is our lives”: how erasure impacts health care for transgender people. J Assoc Nurses AIDS Care. 2009;20(5):348–61. https://doi.org/10.1016/j.jana.2009.07.004.
Jun H. Cissexism (genderism or binarism). In: Social justice, multicultural counseling, and practice: beyond a conventional approach. Cham: Springer International Publishing; 2018. p. 161–85. https://doi.org/10.1007/978-3-319-72514-7_6.
Higgins JA. Sexy feminisms and sexual health: theorizing heterosex, pleasure, and constraint in public health research. Atlantis. 2007;31:72–81. https://doi.org/10.7916/D8ZK5NW0.
van de Grift TC, Pigot GLS, Kreukels BPC, Bouman MB, Mullender MG. Transmen’s experienced sexuality and genital gender-affirming surgery: findings from a clinical follow-up study. J Sex Marital Ther. 2019;45:201–5. https://doi.org/10.1080/0092623X.2018.1500405.
Milrod C, Monto M, Karasic DH. Recommending or rejecting “the dimple”: WPATH-affiliated medical professionals’ experiences and attitudes toward gender-confirming vulvoplasty in transgender women. J Sex Med. 2019;16:586–95. https://doi.org/10.1016/j.jsxm.2019.01.316.
LeBreton M, Courtois F, Journel NM, Beaulieu-Prévost D, Bélanger M, Ruffion A, et al. Genital sensory detection thresholds and patient satisfaction with vaginoplasty in male-to-female transgender women. J Sex Med. 2017;14:274–81. https://doi.org/10.1016/j.jsxm.2016.12.005.
•• Stephenson R, Riley E, Rogers E, Suarez N, Metheny N, Senda J, et al. The sexual health of transgender men: a scoping review. J Sex Res. 2017;54:424–45. https://doi.org/10.1080/00224499.2016.1271863. The scoping review by Stephenson and colleagues is one of the only systematic reviews of sexual health in transgender men, including the impacts of gender-affirmative surgery on sexual functioning and pleasure.
•• Chadwick SB, Francisco M, van Anders SM. When orgasms do not equal pleasure: Accounts of “bad” orgasm experiences during consensual sexual encounters. Arch Sex Behav. 2019;48:2435–59. https://doi.org/10.1007/s10508-019-01527-7. Chadwick and colleagues employ excellent recruitment methodology, resulting in sufficient sample diversity to draw meaningful conclusions about a variety of gender and sexual subgroups.
Lindley LM, Anzani A, Prunas A, Galupo MP. Sexual fantasy across gender identity: a qualitative investigation of differences between cisgender and non-binary people’s imagery. Sex Relat Ther. 2020. https://doi.org/10.1080/14681994.2020.1716966.
Rosenberg S, Tilley PJM, Morgan J. “I couldn’t imagine my life without it”: Australian trans women’s experiences of sexuality, intimacy, and gender-affirming hormone therapy. Sex Cult. 2019;23:962–77. https://doi.org/10.1007/s12119-019-09601-x.
Nikkelen SWC, Kreukels BPC. Sexual experiences in transgender people: the role of desire for gender-confirming interventions, psychological well-being, and body satisfaction. J Sex Marital Ther. 2018;44:370–81. https://doi.org/10.1080/0092623X.2017.1405303.
Spencer KG, Vencill JA. Body beyond: a pleasure-based, sex-positive group therapy curriculum for transfeminine adults. Psychol Sex Orientat Gend Divers. 2017;4:392–402. https://doi.org/10.1037/sgd0000248.
Hobaica S, Schofield K, Kwon P. “Here’s your anatomy…good luck”: transgender individuals in cisnormative sex education. Am J Sex Educ. 2019;14:358–87. https://doi.org/10.1080/15546128.2019.1585308.
Higgins JA, Hirsch JS. The pleasure deficit: revisiting the “sexuality connection” in reproductive health. Perspect Sex Reprod Health. 2007;39:240–7 https://www.jstor.org/stable/30042982.
Logie CH, Abramovich A, Schott N, Levermore K, Jones N. Navigating stigma, survival, and sex in contexts of social inequity among young transgender women and sexually diverse men in Kingston, Jamaica. Reprod Health Matters. 2018;26:72–83. https://doi.org/10.1080/09688080.2018.1538760.
Khan SI, Khan MNM, Hasan AMR, Irfan SD, Horng LMS, Chowdhury EI, et al. Understanding the reasons for using methamphetamine by sexual minority people in Dhaka, Bangladesh. Int J Drug Policy. 2019;73:64–71. https://doi.org/10.1016/j.drugpo.2019.07.009.
Henrich J, Heine SJ, Norenzayan A. The weirdest people in the world? Behav Brain Sci. 2010;33(2–3):61–83. https://doi.org/10.1017/S0140525X0999152X.
Author information
Authors and Affiliations
Ethics declarations
Conflict of Interest
The authors declare that they have no conflicts of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Sexual Orientation and Identity
Rights and permissions
About this article
Cite this article
Bradford, N.J., Spencer, K. Sexual Pleasure in Transgender and Gender Diverse Individuals: an Update on Recent Advances in the Field. Curr Sex Health Rep 12, 314–319 (2020). https://doi.org/10.1007/s11930-020-00284-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11930-020-00284-2