Whitney Natalia, Samuel Ankhita, Douglass Laura, Strand Nicolle K, Hamidian Jahromi Alireza
Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL, USA.
Department of Plastic Surgery, University of Virginia, Charlottesville, VA, USA.
J Sex Med. 2022 Jun;19(6):1032-1034. doi: 10.1016/j.jsxm.2022.03.214. Epub 2022 Apr 21.
As the field of gender-affirming care continues its advancement, a clinical gap in the definition and evaluation of sexual function in transgender and non-binary (TGNB) individuals is becoming increasingly apparent. Recent speculations propose the modification of cis-gender heteronormative sexual function measurement tools as a useful way to close this knowledge gap.
Although the use of previously validated tools creates an easier platform for modification, the assumption of cis-gender sexual function as baseline will further disrupt patient-provider relationships, leading to inaccurate scientific conclusions, and increase the healthcare barriers faced by this community.
As the definition of health has grown to include sexual function, the responsibility of the physician has evolved to include the treatment of sexual dysfunction as well. Without the imminent establishment of a scientific definition of sexual function with an accompanying measurement tool, this lack of understanding continues a precedent that may further stigmatize and distance this population from healthcare. Although this challenge may seem daunting, it should be noted that this has been accomplished for both cis-gender heterosexual men and women. This failure to scrupulously address the needs of the TGNB community directly contradicts the medical profession's revered values of equity and compassion. This branch of sexual medicine and gender-affirming care is critical for maximizing the quality of life as well as equity of the TGNB community to their cis-gender, heteronormative counterparts.
A careful, kinder, and more inclusive approach is necessary, and the TGNB community deserves optimized care which requires a uniquely developed definition of sexual function and the required measurement tools. Whitney N., Samuel A., Douglass L., et al. Avoiding Assumptions: Sexual Function in Transgender and Non-Binary Individuals. J Sex Med 2022;19:1032-1034.
随着性别肯定治疗领域的不断发展，跨性别和非二元性别（TGNB）个体性功能定义和评估方面的临床差距日益明显。最近的推测提出，修改顺性别异性恋规范的性功能测量工具是缩小这一知识差距的有效方法。
尽管使用先前验证过的工具为修改提供了更便捷的平台，但将顺性别性功能作为基线的假设将进一步破坏医患关系，导致不准确的科学结论，并增加该群体面临的医疗障碍。
随着健康的定义已扩大到包括性功能，医生的职责也已演变为包括治疗性功能障碍。由于缺乏对性功能的科学定义及相应的测量工具，这种理解上的不足延续了一个可能会进一步污名化该群体并使其与医疗保健疏远的先例。尽管这一挑战看似艰巨，但应注意的是，顺性别异性恋男性和女性已经做到了这一点。未能认真解决TGNB群体的需求直接违背了医学专业所推崇的公平和同情价值观。性医学和性别肯定治疗的这一分支对于最大限度地提高TGNB群体的生活质量以及使其与顺性别、异性恋规范的同龄人享有平等权利至关重要。
需要采取谨慎、友善且更具包容性的方法，TGNB群体应得到优化的护理，这需要对性功能进行独特制定的定义以及所需的测量工具。惠特尼·N、塞缪尔·A、道格拉斯·L等。避免假设：跨性别和非二元性别个体的性功能。《性医学杂志》2022年；19：1032 - 1034。
