ORIGINAL ARTICLE

Sexual Functions of Transgender Individuals Before Gender Transition
Trans Bireylerin Cinsiyet Geçiş Öncesi Seksüel Fonksiyonları
Received Date : 01 Feb 2021
Accepted Date : 17 May 2021
Available Online : 04 Jun 2021
Doi: 10.25179/tjem.2021-81979 - Makale Dili: EN
Turk J Endocrinol Metab. 2021;25:184-192
Bu makale, CC BY-NC-SA altında lisanslanmış açık erişim bir makaledir.
ABSTRACT
Objective: It is important to evaluate sexual function during the follow-up of transgender individuals in the gender pre-transition period. However, there exists inadequate literature evaluating the sexual functions of transgender individuals who have not received hormone therapy and/or undergone gender-affirming surgery. The aim of this study was to evaluate sexual function in transgender individuals in the gender pre-transition period. Material and Methods: Transgender individuals who were admitted consecutively to the tertiary care hospital between February and December 2019 were evaluated. Those who agreed to fill the questionnaires were included. Sexual functions of participants were evaluated using the Golombok–Rust Inventory of Sexual Satisfaction developed for cisgender and heterosexual individuals. In addition, the Arizona Sexual Experiences Scale was used for a psychometric test. Results: Sixtyfive participants who did not receive hormone therapy and/or undergone gender-affirming surgery were included. Of these, 45 individuals were trans men (TM), and 20 were trans women (TW). The mean ages of TW and TM were 25.05±6.73 and 24.23±5.58 years, respectively. The percentages of sexual dysfunction were found to be 87.8% in TM and 92.3% in TW, according to the Arizona Sexual Experiences Scale. According to the common subscales of the Golombok-Rust Inventory of Sexual Satisfaction, the most common problem in both groups was low sexual frequency. Conclusion: Owing to the importance of evaluating the sexual function in transgender individuals during the gender pre-transition period or in those who do not intend to undergo gender-affirming treatment, a scale should be developed for this period.
ÖZET
Amaç: Transseksüel bireylerin takibinde seksüel foksiyonların değerlendirilmesi önemli bir yere sahiptir. Buna karşılık, literatürde herhangi bir cinsiyet değişim tedavisi almayan bireylerin seksüel fonksiyonlarını değerlendiren yeterli çalışma bulunmamaktadır. Bu nedenle çalışmamızda, geçiş öncesi dönemde seksüel fonksiyonu değerlendirmeyi amaçladık. Gereç ve Yöntemler: Çalışmamızda Şubat-Aralık 2019 tarihleri arasında merkezimize ardışık olarak başvuran transseksüel bireyler değerlendirildi. Çalışmaya, anket doldurmayı kabul eden ve herhangi bir cinsiyet değişim tedavisi almayan katılımcılar alındı. Çalışmaya katılanların seksüel fonksiyonları, cisgender ve heteroseksüel bireyler için geliştirilen Golombok-Rust Cinsel Doyum Ölçeği ile değerlendirildi. Ayrıca psikometrik test olarak da Arizona Cinsel Yaşantılar Ölçeği kullanıldı. Bulgular: Çalışmaya cinsiyet değişim tedavisi almayan (cerrahi ve/veya hormon tedavisi) 65 transseksüel birey dâhil edildi. Katılımcıların 45’i trans erkek, 20’si ise trans kadındı. Trans kadınların ortalama yaşı 25,05±6,73 saptanırken, trans erkeklerin ise ortalama yaşı 24,23±5,58 saptandı. Arizona Cinsel Yaşantılar Ölçeği’ne trans erkeklerin 36’sında (%87,8) seksüel disfonksiyon saptanırken, trans kadınların 12’sinde (%92,3) seksüel disfonksiyon saptandı. Golombok-Rust Cinsel Doyum Ölçeği’nin ortak alt ölçeklerine göre ise her 2 grupta en sık görülen sorun cinsel ilişki sıklığında düşüklüktür. Sonuç: Cinsiyet geçiş döneminden önce veya cinsiyet onaylayıcı tedavi niyetinde olmayan transseksüel bireylerde cinsel işlevin değerlendirilmesi önemli olduğu için bu döneme yönelik bir ölçeğin geliştirlmesi gerekir.
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