Sexuality after male to female gender confirming surgery

Male to female (MtF) gender confirming surgery (GCS) comprises resection of the corpora cavernosa and the testicles with creation of a functional and asthetic perineogenital complex. However little is known about the long-term... [ view full abstract ]

Male to female (MtF) gender confirming surgery (GCS) comprises resection of the corpora cavernosa and the testicles with creation of a functional and asthetic perineogenital complex. However little is known about the long-term impact of surgery on the sexuality.

This study aimed to evaluate the long-term effect of GCS on sexuality. [ view full abstract ]

This study aimed to evaluate the long-term effect of GCS on sexuality.

We retrospectively surveyed 254 consecutive MtF transsexual patients who had undergone GCS with penile inversion vaginoplasty at our department between 2004 and 2010. In total, we received 119 completed questionnaires... [ view full abstract ]

We retrospectively surveyed 254 consecutive MtF transsexual patients who had undergone GCS with penile inversion vaginoplasty at our department between 2004 and 2010. In total, we received 119 completed questionnaires (response rate 46.9%) after a median 5.05 years (standard deviation: 1.6 years; range: 1 to 7 years) since surgery.

We asked the women to self-identify their sexual orientation related to their perceived gender. Furthermore we inquired information about the ability to and the modality as to how achieve orgasms and about the satisfaction... [ view full abstract ]

We asked the women to self-identify their sexual orientation related to their perceived gender. Furthermore we inquired information about the ability to and the modality as to how achieve orgasms and about the satisfaction with the clitoral sensibility, with the vaginal depth, about the ease of sexual stimulation and the pleasure of sexual activity.

Study participants reported in 33.7% a herterosexual orientation, in 37.6% a lesbian and in 22.8% a bisexual orientation. Approximately two thirds of the patients hadn´t encountered sexual intercourse after this time. Those... [ view full abstract ]

Study participants reported in 33.7% a herterosexual orientation, in 37.6% a lesbian and in 22.8% a bisexual orientation. Approximately two thirds of the patients hadn´t encountered sexual intercourse after this time. Those who had sexual intercourse rated their orgasms in 55.8% to be more intensive compared to preoperatively, with 20.8% who felt no difference. Most patients were satisfied with the sensitivity of the neoclitoris (66.5%) and with the depth of the neovaginal canal (67.1%). However, the self-estimated pleasure of sexual activity was significantly correlated with the sensitivity of the neoclitoris (ρ=0.508, p=0.01) but not with the depth of the neovaginal canal (ρ=0.198, p=0.079). There was a significant correlation between the ease with which patients were able to become sexually aroused and their ability to achieve an orgasm (ρ=0.616, p=0.01).

Meticulous preservation of genital nerval anatomy is a prerequisite for future orgasms in transgender individuals - the brain, however, seems to play the key role for overall orgasmic experience. [ view full abstract ]

Meticulous preservation of genital nerval anatomy is a prerequisite for future orgasms in transgender individuals - the brain, however, seems to play the key role for overall orgasmic experience.