Health  Vol.8 No.11 , August 2016
Psychosexual Assessment of Transgender Individuals during the Sex Reassignment Process: Sexual Desire, Activity, and Satisfaction
Abstract: A group of 39 Transgender subjects, 17 Female to Male (FtM) and 22 Male to Female (MtF), have been evaluated about their sexual desire, activity, and satisfaction during the period before and after Sex Reassignment by Surgery (SRS). Visual Analogue Scale from 0 to 10 has been used to assess sexual desire and satisfaction, number of sexual partners and number of sexual intercourses/ month have been evaluated to assess sexual activity. Moreover, after the surgery, the Sexual Desire Inventory-2 (SDI-2) was administered to patients and related to testosterone (total or free) levels. In FtM, after hysterectomy and bilateral ovariectomy, mean value of sexual desire (VAS 0 - 10) was 7.5 before beginning testosterone therapy, this value increased after six months of therapy and after one year. Just before SRS the value decreased, but increased to 8.42 after SRS. In the same patients the values (VAS 0 - 10) on sexual satisfaction were respectively 6.5, 6.9, 7.1, 6.5 and 7. Mean number of partners was 4, with 7.07 mean frequency of sexual intercourse/month, before starting therapy (after hysterectomy). During hormonal therapy (testosterone), No. of partners was 2.46 and 8.96 intercourses/month, while after SRS the partners were 1.25 and intercouses/month 7.91. MtF patients reported a sexual desire (VAS 0 - 10) before therapy of 7, this remained almost constant after 6 months, decreases after 12 months and just before surgery, and finally increased to 7.76 after SRS. For sexual satisfaction mean values of VAS were respectively: 6.1, 6.2, 6.3, 6, and 6.8. Regarding sexual activity, MtF report 3.81 mean No. of partners and 9.27 intercouses/month before the beginning of hormonal therapy, 1.36 partners and 4.36 intercourses after therapy, and 1.3 partners and 4.54 intercourses after SRS.
Cite this paper: Carriero, C. , Dellino, M. , Campanelli, F. , Licchelli, M. and Loverro, G. (2016) Psychosexual Assessment of Transgender Individuals during the Sex Reassignment Process: Sexual Desire, Activity, and Satisfaction. Health, 8, 1075-1081. doi: 10.4236/health.2016.811111.

[1]   Wierckx, K., Elaut, E., Van Hoorde, B., Heylens, G., De Cuypere, G., Monstrey, S., Weyers, S., Hoebeke, P. and T’Sjoen, G. (2014) Sexual Desire in Trans Persons: Associations with Sex Reassignment Treatment. The Journal of Sexual Medicine, 11, 107-118.

[2]   Kronawitter, D., Gooren, L.J., Zollver, H., Oppelt, P.G., Beckmann, M.W., Dittrich, R. and Mueller, A. (2009) Effects of Transdermal Testosterone or Oral Dydrogesterone on Hypoactive Sexual Desire Disorder in Trans-sexual Women: Results of a Pilot Study. European Journal of Endocrinology, 161, 363-368.

[3]   Elaut, E., Bogaert, V., De Cuypere, G., Weyers, S., Gijs, L., Kaufman, J. and T’sjoen, G. (2010) Contribution of Androgen Receptor Sensitivity to the Relation between Testosterone and Sexual Desire: An Explo-ration in Male-to-Female Transsexuals. Journal of Endocrinological Investigation, 33, 37-41.

[4]   Regier, D.A., Kuhl, E.A. and Kupfer, D.J. (2013) The DSM-5: Classification and Criteria Changes. World Psychiatry, 12, 92-98.

[5]   Spector, I.P., Carey, M.P. and Stein-berg, L. (1996) The Sexual Desire Inventory: Development, Factor, Structure and Evidence of Reliability. Journal of Sex & Marital Therapy, 22, 175-190.

[6]   Costantino, A., Cerpolini, S., Alvisi, S., Morselli, P.G., Venturoli, S. and Meriggiola, M.C. (2013) A Prospective Study on Sexual Function and Mood in Female-to-Male Transsexuals during Testosterone Administration and after Sex Reassignment Surgery. Journal of Sex & Marital Therapy, 39, 321-335.

[7]   Wierckx, K., Elaut, E., Van Caenegem, E., Van De Peer, F., Dedecker, D., Van Houdenhove, E. and T’Sjoen, G. (2011) Sexual Desire in Female-to-Male Transsexual Persons: Exploration of the Role of Testosterone Administration. European Journal of Endocrinology, 165, 331-337.

[8]   Regan, P.C. and Atkins, L. (2006) Sex Differences and Similarities in Frequency and Intensity of Sexual Desire. Social Behavior & Personality: An International Journal, 34, 95-101.

[9]   Spector, I.P., Carey, M.P. and Steinberg, L. (1996) The Sexual Desire Inventory: Development, Factor Structure, and Evidence of Reliability. Journal of Sex & Marital Therapy, 22, 175.

[10]   Basson, R. (2000) The Female Sexual Response: A Different Model. Journal of Sex & Marital Therapy, 26, 51-65.

[11]   Levine, S.B. (2003) The Nature of Sexual Desire: A Clinician’s Perspective. Archives of Sexual Behavior, 32, 279-285.

[12]   Reback, C.J., Kaplan, R.L., Bettcher, T.M. and Larkins, S. (2016) The Role of the Illusion in the Construction of Erotic Desire: Narratives from Heterosexual Men Who Have Occasional Sex with Transgender Women. Culture, Health & Sexuality, 18, 951-963.

[13]   Mauk, D., Perry, A. and Munoz-Laboy, M. (2013) Exploring the Desires and Sexual Culture of Men Who Have Sex with Male-to-Female Transgender Women. Archives of Sexual Behavior, 42, 793-803.

[14]   Kuper, L.E., Nussbaum, R. and Mustanski, B. (2012) Exploring the Diversity of Gender and Sexual Orientation Identities in an Online Sample of Transgender Individuals. Journal of Sex Research, 49, 244-254.