Department of Counseling Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Department of Psychology, University of Milano, Bicocca, Italy.
Arch Sex Behav. 2022 May;51(4):2049-2063. doi: 10.1007/s10508-021-02242-y. Epub 2022 Apr 21.
Prior qualitative research has noted that gender dysphoria impacts sexual engagement and satisfaction for many trans masculine and nonbinary individuals. As such, the current cross-sectional study aimed to investigate the exact relations between distinct aspects of gender dysphoria (i.e., genital, chest, other secondary sex characteristics, and social) and engagement in, and enjoyment of, specific sexual acts. To achieve this aim, a sample of 141 trans masculine and nonbinary participants who were assigned female at birth and whom had not undertaken a medical transition were recruited. Participants were identified as trans masculine (n = 52), nonbinary (n = 72), and agender (n = 17). Participants completed a survey rating both body and social gender dysphoria and their engagement and enjoyment of receptive and performative roles across six partnered sex act domains (i.e., insertion, oral sex, sex toys, manual stimulation, nipple stimulation, and anal stimulation), as well as masturbation and noncoital activities. The overall results demonstrated that gender dysphoria is more salient to sexual acts that involve receiving versus providing sexual pleasure. In addition, genital and chest dysphoria were often significantly related to lower ratings of engagement and enjoyment. These results support the understanding that trans masculine and nonbinary individuals are likely negotiating sexual encounters to avoid sexual acts that involve areas of their body they find most distressing and marks an important area for future interventions and research.
先前的定性研究指出，性别焦虑会影响许多跨男性和非二元个体的性参与和性满足。因此，本横断面研究旨在调查性别焦虑的不同方面（即生殖器、胸部、其他第二性特征和社会）与特定性行为的参与和享受之间的确切关系。为了实现这一目标，招募了 141 名出生时被指定为女性但尚未接受医学转型的跨男性和非二元个体参与者。参与者被确定为跨男性（n=52）、非二元（n=72）和无性别（n=17）。参与者完成了一项调查，对身体和社会性别焦虑以及他们在六个伴侣性行为领域（即插入、口交、性玩具、手动刺激、乳头刺激和肛门刺激）以及自慰和非性交活动中的参与和享受进行了评分。总体结果表明，性别焦虑与涉及接受性快感的性行为比涉及提供性快感的性行为更为突出。此外，生殖器和胸部不适通常与较低的参与和享受评分显著相关。这些结果支持这样一种理解，即跨男性和非二元个体可能正在协商性接触，以避免涉及他们最感到痛苦的身体部位的性行为，这是未来干预和研究的一个重要领域。
