Zavlin Dmitry, Wassersug Richard J, Chegireddy Vishwanath, Schaff Jürgen, Papadopulos Nikolaos A
Department of Surgery, Easton Hospital, Drexel University College of Medicine, Easton, PA, USA; Department of Plastic and Hand Surgery, University Hospital Rechts der Isar, Technical University Munich, Munich, Germany.
Department of Cellular and Physiological Sciences, University of British Columbia, Vancouver, British Columbia, Canada; Australian Research Centre in Sex, Health and Society, Latrobe University, Melbourne, Australia.
Sex Med. 2019 Mar;7(1):86-93. doi: 10.1016/j.esxm.2018.11.005. Epub 2019 Jan 9.
INTRODUCTION: It has been theorized that there are 2 subgroups within the male-to-female (MtF) transgender population: individuals who are predominantly androphilic and those who are predominantly gynephylic or interested in both male and female partners. AIM: To explore the role of a dichotomous distribution of age at dysphoria onset in individuals diagnosed with MtF gender dysphoria. METHODS: 40 patients who presented to a surgical clinic in Germany for gender-affirming surgery (GAS) were included in this study. Their age distribution was plotted as a histogram and the population was then divided at the median self-reported age of onset of gender dysphoria-that is, those 17 years and younger and those 18 years and older. The 2 groups were then compared with regard to demographic data, partnership history, various quality of life parameters, as well as sexual orientation and sexual history. MAIN OUTCOME MEASURE: Self-designed questionnaires for demographics and sexuality, Questions on Life Satisfaction and Body Image (FLZ), Freiburg Personality Inventory, Rosenberg Self-Esteem Scale, and Patient Health Questionnaire were used. RESULTS: Early-onset, gender-dysphoric MtF patients underwent GAS at a much younger age (mean 32.7 vs 43.8 years, P = .004), but had similar characteristics regarding weight, height, body mass index, marital status, and living situation to individuals who reported later onset of gender dysphoria. Preoperatively, they showed greater depressive symptoms (4.6 vs 3.3 points, P = .045), which disappeared after GAS. Following surgery, the younger MtFs were predominantly attracted to men (52.6%), whereas individuals who were diagnosed with late-onset of gender dysphoria preferred women or both men and women (85.7%) as sexual partners (P = .010). Younger trans individuals were more frequently sexually active (73.7% vs 42.9%, P = .049). CONCLUSION: Our findings suggest that there are 2 MtF populations that differ in age of dysphoria onset, sexual history, and multiple personal details including sexual orientation. These data may be used to improve care to transgender individuals by providing treatment reflecting their sexual interests. Zavlin D, Wassersug RJ, Chegireddy V, et al. Age-Related Differences for Male-to-Female Transgender Patients Undergoing Gender-Affirming Surgery. Sex Med 2019;7:86-93.
引言：理论认为，男变女（MtF）跨性别群体可分为两个亚组：主要偏好男性的个体，以及主要偏好女性或对男性和女性伴侣都感兴趣的个体。 目的：探讨诊断为MtF性别焦虑症的个体中，焦虑症发病年龄二分分布的作用。 方法：本研究纳入了40名到德国一家外科诊所接受性别确认手术（GAS）的患者。将他们的年龄分布绘制成直方图，然后根据自我报告的性别焦虑症发病年龄中位数将人群分为两组，即17岁及以下和18岁及以上。然后比较两组在人口统计学数据、伴侣关系史、各种生活质量参数以及性取向和性史方面的情况。 主要观察指标：使用自行设计的人口统计学和性取向问卷、生活满意度和身体形象问题问卷（FLZ）、弗莱堡人格量表、罗森伯格自尊量表和患者健康问卷。 结果：早期发病的性别焦虑症MtF患者接受GAS的年龄要小得多（平均32.7岁对43.8岁，P = .004），但在体重、身高、体重指数、婚姻状况和生活状况方面与报告性别焦虑症发病较晚的个体相似。术前，他们表现出更严重的抑郁症状（4.6分对3.3分，P = .045），在GAS后消失。手术后，年轻的MtF患者主要被男性吸引（52.6%），而被诊断为性别焦虑症发病较晚的个体更喜欢女性或男女都喜欢（85.7%）作为性伴侣（P = .010）。年轻的跨性别者性活动更频繁（73.7%对42.9%，P = .049）。 结论：我们的研究结果表明，有两个MtF群体在焦虑症发病年龄、性史以及包括性取向在内的多个个人细节方面存在差异。这些数据可用于通过提供反映其性兴趣的治疗来改善对跨性别个体的护理。扎夫林D、瓦瑟苏格RJ、切吉雷迪V等。接受性别确认手术的男变女跨性别患者的年龄相关差异。性医学2019；7：86 - 93。
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