Sexual Satisfaction After Gender Affirmation Surgery in Transgender Individuals

Renard R Jerome; Maneesha K Randhawa; John Kowalczyk; Alexander Sinclair; Ishita Monga

doi:10.7759/cureus.27365

Sexual Satisfaction After Gender Affirmation Surgery in Transgender Individuals

Cureus. 2022 Jul 27;14(7):e27365. doi: 10.7759/cureus.27365. eCollection 2022 Jul.

Authors

Renard R Jerome¹, Maneesha K Randhawa², John Kowalczyk³, Alexander Sinclair³, Ishita Monga⁴

Affiliations

¹ Internal Medicine, St. George's University School of Medicine, St. George, GRD.
² Psychiatry, St. George's University School of Medicine, St. George, GRD.
³ Surgery, Southern California Hospital, Los Angeles, USA.
⁴ Biological Sciences, University of California Los Angeles, Los Angeles, USA.

Abstract

Gender affirmation surgery (GAS) is a collection of surgical procedures that involve the reconstruction of patients' genitalia with the aim of achieving the physical appearance and functional abilities of the gender they desire. They are classified into male-to-female (MtF) and female-to-male (FtM). This study is aimed at assessing sexual satisfaction after MtF GAS. A total of 150 patients who underwent MtF GAS at the Urology Group of Southern California and Sinclair Plastic Surgery in Los Angeles, California, were retrospectively surveyed. In total, we received 29 responses, with an average of five years after their surgery. There was a significant correlation between the sensitivity of the neoclitoris and sexual satisfaction but not with vaginal sensitivity or depth. Furthermore, this study revealed an important correlation between gender dysphoria relief after GAS.

Keywords: gender affirmation surgery; gender-dysphoria; male-to-female; sexual-satisfaction; transgender.