Gieles Noor C, Gerritse Karl, Zandbergen Eva, Both Stephanie, Kreukels Baudewijntje P C
Center of Expertise on Gender Dysphoria, department of Endocrinology, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan, Amsterdam, the Netherlands.
Center of Expertise on Gender Dysphoria, department of Medical Psychology, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan, Amsterdam, the Netherlands.
Int J Transgend Health. 2024 Feb 9;26(3):725-742. doi: 10.1080/26895269.2024.2307359. eCollection 2025.
Transgender or non-binary (TNB) individuals face specific challenges regarding their sexual well-being. Transition is associated with changes in sexual self-concept, sexual development and sexual experiences. Scientific literature and clinical guidance on sexological care provision tailored to TNB clients who experience sexual problems is limited. However, healthcare professionals (HCPs) with experience in sexological care for TNB clients may hold valuable practice-based knowledge that could inform HCPs' training in sexology.
To elucidate these practices, we conducted a qualitative interview study among 13 respondents. We analyzed these findings using thematic analysis.
While sexological care for TNB and cisgender clients was not considered fundamentally different, HCPs described specific practices related to 1) reflecting on one's positionality, practices, and the care context, 2) addressing societal narratives and personal sexual encounters, 3) providing inclusive information on sexuality, 4) unraveling entanglements between body image, transition, and sexual experiences, and 5) encouraging positive sexual experiences. HCPs highlight the importance of a biopsychosocial and positive approach to sexological care in all clients. Additionally, providing sexological care to TNB clients requires HCPs to be cognizant of how societal and identity-related factors may contribute to the experience of a sexual problem.
CONCLUSION & DISCUSSION: While little clinical guidance is available, HCPs with experience in sexological care provision to TNB individuals hold practice-based knowledge that can be used to inform tailored sexological care provision. Integrating these findings into medical and sexological curricula can promote expertise and critical reflection on the provision of tailored sexological care to TNB individuals.
跨性别者或非二元性别者在性健康方面面临特定挑战。性别转换与性自我概念、性发育及性经历的变化相关。针对有性问题的跨性别者提供性学护理的科学文献和临床指南有限。然而，为跨性别者提供性学护理的医疗保健专业人员（HCPs）可能拥有基于实践的宝贵知识，可为HCPs的性学培训提供参考。
为阐明这些实践，我们对13名受访者进行了定性访谈研究。我们采用主题分析法对这些结果进行了分析。
虽然为跨性别者和顺性别者提供的性学护理在本质上没有被认为有差异，但HCPs描述了与以下方面相关的具体实践：1）反思自身的立场、实践及护理背景；2）处理社会叙事和个人性经历；3）提供关于性的包容性信息；4）理清身体形象转变与性经历之间的纠葛；5）鼓励积极的性经历。HCPs强调对所有患者采用生物心理社会及积极的性学护理方法的重要性。此外，为跨性别者提供性学护理要求HCPs认识到社会和身份相关因素可能如何导致性问题的体验。
虽然可用的临床指南很少，但为跨性别者提供性学护理的HCPs拥有基于实践的知识，可用于为定制的性学护理提供参考。将这些发现纳入医学和性学课程可促进为跨性别者提供定制性学护理方面的专业知识和批判性反思。
