Sexual sensation in post operative trans women

Surgeons have made a sensate neoclitoris for nearly 25 years during genital reconstruction for trans women. As far as we are aware, there have been no audits of how well these work in terms of providing pleasurable erotic... [ view full abstract ]

Surgeons have made a sensate neoclitoris for nearly 25 years during genital reconstruction for trans women. As far as we are aware, there have been no audits of how well these work in terms of providing pleasurable erotic sensation. This study was performed to assess this further

To evaluate sexual sensation in post operative trans women [ view full abstract ]

To evaluate sexual sensation in post operative trans women

Questionnaires were sent to 76 consecutive patients undergoing genital reconstruction in our unit between 8 and 12 weeks after their operation. Patients were asked whether they could locate the clitoris, and if so, whether... [ view full abstract ]

Questionnaires were sent to 76 consecutive patients undergoing genital reconstruction in our unit between 8 and 12 weeks after their operation. Patients were asked whether they could locate the clitoris, and if so, whether there was sensation in it, either pure touch or erotic. They were also asked what if any sexual activity they had indulged in since their operations.

Patients recorded what if any sensation they had from their neoclitoris, and whether they had achieved orgasm. They were also asked about their sexual activity up to the time of the questionnaire. [ view full abstract ]

Patients recorded what if any sensation they had from their neoclitoris, and whether they had achieved orgasm. They were also asked about their sexual activity up to the time of the questionnaire.

49 patients completed questionnaires for analysis. Of these, 35 reported that they had been able to locate the clitoris, and in that group, 24 reported erogenous sensation, and 15 reported touch sensation. 17 had achieved... [ view full abstract ]

49 patients completed questionnaires for analysis. Of these, 35 reported that they had been able to locate the clitoris, and in that group, 24 reported erogenous sensation, and 15 reported touch sensation. 17 had achieved orgasm. 18 patients reported sexual activity with a partner, of which 10 had had sex with a cis man, 4 with a cis woman, and 4 with a trans woman. 20 had tried masturbation.

Although the study looked at patients within 3 months of their operation, good levels of sexual sensation are reported. We intend to follow the patients further to see whether the number reporting sexual sensation increases... [ view full abstract ]

Although the study looked at patients within 3 months of their operation, good levels of sexual sensation are reported. We intend to follow the patients further to see whether the number reporting sexual sensation increases with time. Given the recent surgery, we were surprised to find that nearly 80% of patients report sexual activity within 3 months of surgery, and 20% reported sex with a cis man.
We think this study should be expanded, ideally with collaboration across different units, as larger numbers are required to investigate differences which might result from, for example, age of patient.
Whilst fairly typical for studies using questionnaires, the low response rate limits the usefulness of the data, and it is possible that a different methodology, such as telephone interview, would be more effective.