Departments of Child and Adolescent Psychiatry and
Medical Psychology, VU University Medical Center, Amsterdam, Netherlands.
Pediatrics. 2017 Mar;139(3). doi: 10.1542/peds.2016-2283.
In various Western countries early medical gender-affirmative treatment has become increasingly available for transgender adolescents. Research conducted before the start of medical gender-affirming treatment has focused on psychological and social functioning, and knowledge about the sexual health of this specific young group is lacking.
Gender identity clinics referred 137 adolescents: 60 transgirls (birth-assigned boys, mean age 14.11 years, SD 2.21) and 77 transboys (birth assigned girls, mean age 15.14 years, SD 2.09; = .05). A questionnaire on sexual experiences (kissing, petting while undressed, sexual intercourse), romantic experiences (falling in love, romantic relationships), sexual orientation, negative sexual experiences, and sexual satisfaction was administered. Experiences of the transgender adolescents were compared with data for same-aged youth of a Dutch general population study ( = 8520).
Of the transgender adolescents, 77% had fallen in love, 50% had had a romantic relationship, 26% had experienced petting while undressed, and 5% had had sexual intercourse. Transboys had more sexual experience than transgirls. In comparison with the general population, transgender adolescents were both sexually and romantically less experienced.
Despite challenges, transgender adolescent are sexually active, although to a lesser extent than their peers from the general population.
在许多西方国家，早期的医学性别肯定治疗已经越来越多地适用于跨性别青少年。在开始进行医学性别肯定治疗之前进行的研究主要集中在心理和社会功能上，而缺乏对这一特定年轻群体的性健康的了解。
性别认同诊所转介了 137 名青少年：60 名跨性别女孩（出生时为男孩，平均年龄 14.11 岁，标准差 2.21）和 77 名跨性别男孩（出生时为女孩，平均年龄 15.14 岁，标准差 2.09；p=.05）。他们接受了关于性经历（亲吻、裸体亲昵、性行为）、浪漫经历（坠入爱河、浪漫关系）、性取向、负面性经历和性满意度的问卷调查。将跨性别青少年的经历与荷兰一般人群研究（n=8520）的数据进行了比较。
在跨性别青少年中，77%的人曾坠入爱河，50%的人有过浪漫关系，26%的人有过裸体亲昵经历，5%的人有过性行为。跨性别男孩比跨性别女孩有更多的性经历。与一般人群相比，跨性别青少年的性和浪漫经历都较少。
尽管存在挑战，但跨性别青少年具有性活跃性，尽管其性活跃程度低于一般人群中的同龄人。
