Department of Gynecology and Obstetrics, University of São Paulo, Ribeirão Preto, Brazil.
Department of Health, University of São Paulo, Ribeirão Preto, Brazil.
Clin Anat. 2022 Jul;35(5):560-570. doi: 10.1002/ca.23863. Epub 2022 Apr 2.
A transgender person has a gender identity opposite to the sex assigned at birth. Transgender individuals may have altered sexual function (SF) due to psychosocial factors related to body image distortion, shame, and dissatisfaction with genital appearance, and these conditions can increase the risk of sexual dysfunction. This study aimed to characterize the SF of trans-women after gender affirming surgery (GAS). We reviewed the Pubmed database for studies published between January 2008 and December 2021. 17 studies were included, four were cross-sectional studies, one prospective study, four prospective cohort studies, five retrospective studies. The instruments used to evaluate the SF were female sexual function index, semistructured questionnaires, patients' opinion, Sexual Desire Inventory, Maudsley Marital Questionnaire-S, WHOQOL-100. The results of our review indicate there is weak evidence that GAS improves the SF of trans-women. We thus recommend that future studies use questionnaires that are validated for the assessment of the SF of trans-women to better determine the impact of genital surgery in this population.
跨性别者的性别认同与出生时分配的性别相反。由于与身体形象扭曲、羞耻和对生殖器外观不满相关的心理社会因素，跨性别者的性功能（SF）可能会发生改变，这些情况会增加性功能障碍的风险。本研究旨在描述接受性别肯定手术（GAS）后的跨性别女性的 SF。我们在 PubMed 数据库中检索了 2008 年 1 月至 2021 年 12 月期间发表的研究。共纳入 17 项研究，其中 4 项为横断面研究，1 项前瞻性研究，4 项前瞻性队列研究，5 项回顾性研究。用于评估 SF 的工具包括女性性功能指数、半结构化问卷、患者意见、性欲量表、Maudsley 婚姻问卷-S、WHOQOL-100。我们的综述结果表明，有弱证据表明 GAS 改善了跨性别女性的 SF。因此，我们建议未来的研究使用经过验证的评估跨性别女性 SF 的问卷，以更好地确定生殖器手术对该人群的影响。
