Subedi Sangeeta, Kant Jessica, Miranda Noah, Anacheka-Nasemann Rebecca, Martinez Joseph, Ganor Oren
Center for Gender Surgery, Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Department of Clinical Practice, School of Social Work, Boston University, Boston, Massachusetts, USA.
Int J Transgend Health. 2024 Apr 4;26(3):825-836. doi: 10.1080/26895269.2024.2333533. eCollection 2025.
Genital tucking, defined as the use of any nonsurgical method to reduce the appearance of the penis and/or testes to align with one's gender expression, is a common gender-affirming practice among transfeminine and gender diverse (TFGD) individuals. However, little is known about TFGD individuals' experiences of genital tucking beyond limited research on its fertility impacts.
This study aims to better understand TFGD individuals' experiences of tucking, focusing specifically on the factors influencing TFGD individuals' tucking practices and the health impacts of tucking on TFGD communities.
Participants were administered a 3-part online survey collecting: (1) Demographic information, (2) Information about gender-affirming care, and (3) Information about tucking practices. The survey included both closed-ended and open-ended questions. Responses to open-ended questions were analyzed using inductive content analysis. Descriptive statistics were generated for closed-ended questions.
Ninety-nine TFGD individuals ( = 32.35 years, Range = 20-72 years) completed the survey. Four main themes were developed through analysis of participant responses: (1) Dysphoria as a motivation for tucking; (2) Information-seeking through online trans community; (3) Mixed satisfaction with tucking methods, materials, and practices; and (4) The overlooked health implications of tucking.
Healthcare providers have an obligation to support TFGD individuals in developing safe tucking practices, which necessitates increased understanding of the relationship between tucking and dysphoria, awareness of the online community resources currently informing TFGD individuals' tucking practices, and commitment to developing affirming spaces for TFGD individuals to discuss the impacts of tucking on their health.
生殖器内收，定义为使用任何非手术方法来减少阴茎和/或睾丸的外观，以使其与个人的性别表达相一致，是跨女性和性别多样化（TFGD）个体中常见的性别肯定行为。然而，除了关于其对生育影响的有限研究之外，对于TFGD个体生殖器内收的经历知之甚少。
本研究旨在更好地了解TFGD个体的内收经历，特别关注影响TFGD个体内收行为的因素以及内收对TFGD群体的健康影响。
参与者接受了一项由三部分组成的在线调查，收集：（1）人口统计学信息，（2）关于性别肯定护理的信息，以及（3）关于内收行为的信息。该调查包括封闭式和开放式问题。使用归纳性内容分析法对开放式问题的回答进行分析。对封闭式问题生成描述性统计数据。
99名TFGD个体（平均年龄 = 32.35岁，范围 = 20 - 72岁）完成了调查。通过对参与者回答的分析得出了四个主要主题：（1）烦躁不安是内收的动机；（2）通过在线跨性别群体寻求信息；（3）对内收方法、材料和行为的满意度不一；（4）内收对健康的影响被忽视。
医疗保健提供者有义务支持TFGD个体制定安全的内收行为，这需要增进对内收与烦躁不安之间关系的理解，了解当前为TFGD个体的内收行为提供信息的在线社区资源，并致力于为TFGD个体创造肯定性的空间，以讨论内收对其健康的影响。
