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Why Do Transmen Have Surgery?

While some transmen had problems with urination, many were satisfied with the function of their new penis. None regretted their decision to have surgery, but two said they would have chosen a different type of surgery if they were going to do it over again.

Many participants reported more sexual activity than before surgery, using their genitals more frequently. However, their sex lives rated an average of 5.5 on a scale of 1 to 10. Some were frustrated that they could not penetrate a partner. Others said they weren’t sexually active or had “partner issues.”

These findings can help clinicians counsel their transgender patients, the authors said.

“Better decision making and realistic expectations might improve long-term outcomes,” they wrote.


The Journal of Sexual Medicine

van de Grift, Tim C. MD, MSc, et al.

“A Longitudinal Study of Motivations Before and Psychosexual Outcomes After Genital Gender-Confirming Surgery in Transmen”

(Full-text. Published online: November 8, 2017)

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