Sexual Orientation and Attraction in a Cohort of Transmasculine Adolescents and Young Adults.

As part of an ongoing longitudinal study of transmasculine adolescents and young adults seeking gender-affirming surgery, this analysis examined sexual orientation and attraction in a cohort of 167 binary and nonbinary participants 15-35 years of age. Correlations were analyzed using Pearson's chi square. Binary and nonbinary transmasculine individuals had different patterns of orientation and attraction, with binary males more likely to be heterosexual and less likely to be queer (<0.003). Nonbinary individuals were more likely to be attracted to and have history with other nonbinary people (<0.01). Transmasculine sexual identities are variable, complex, and not well described by standard sexual orientation categories.