Sexual Dysfunction in Transgender People: A Systematic Review

Urol Clin North Am. 2021 Nov;48(4):437-460. doi: 10.1016/j.ucl.2021.06.004.

Abstract

Transgender people may choose to affirm their gender identity with gender-affirming hormone therapy (GAHT) and/or gender-affirming surgery (GAS). The effects of GAHT and GAS on sexual health in transgender people have not been well elucidated. This systematic review aimed to appraise the current scientific literature regarding sexual desire, arousal, orgasm, pain, and satisfaction in transmen and transwomen before, during, and after gender transition. Overall, sexual dysfunction is common in both transmen and transwomen. GAHT and GAS may help to improve sexual satisfaction. More studies that focus on sexual health in the transgender population are urgently needed.

Keywords: Sexual distress; Sexual dysfunction; Transgender; Transgender health; Transmen; Transwomen.

Publication types

  • Systematic Review

MeSH terms

  • Female
  • Gender-Affirming Procedures*
  • Humans
  • Male
  • Practice Guidelines as Topic
  • Sexual Dysfunction, Physiological / etiology*
  • Transsexualism / complications*
  • Transsexualism / therapy*