Volume 7, Issue 1 (Winter 2019)                   PCP 2019, 7(1): 71-78 | Back to browse issues page


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Asadpour E, Behzadipuor S, Zarenejad M. Comparing Sexual Satisfaction and Function in Operated vs. Non-Operated Patients of Gender Identity Disorder. PCP. 2019; 7 (1) :71-78
URL: http://jpcp.uswr.ac.ir/article-1-503-en.html
1- Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran.
2- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran.
Abstract:   (323 Views)
Objective: Gender Dysphoria is one of the most important psychiatric disorders whose complications include the problems occurring after sex reassignment surgery.
Methods: This study investigates sexual function and satisfaction in patients with Gender Dysphoria, both operated and non-operated patients, from 2011 to 2013. We used a cross-sectional analysis, and by referring to the Legal Medicine Center in the province of Fars, 70 patients with Gender Dysphoria (including 35-operated male to female and 35 non-operated male to female) were selected using the non-probability sampling method. The study data were collected by sexual satisfaction standard questionnaires, sexual function index, and Beck scale for suicidal ideation were used. The results were analyzed using SPSS V. 22.
Results: According to the results, no significant difference was observed between the operated and non-operated groups in terms of sexual satisfaction. However, there was a significant difference in terms of sexual function among operated group compared to the non-operated group, at the significance level of 0.05.
Conclusion: Based on our finding, the patients with sex reassignment surgery have found their identity, mental relaxation, and coordinated behavior with their genders. New sexual identity heals patients’ relationship with society, presents individual in community with suitable social status and reasonable sexual function for achieving normal life.
Full-Text [PDF 571 kb]   (105 Downloads) |   |   Full-Text (HTML)  (24 Views)  
Type of Study: Research | Subject: Psychiatry
Received: 2018/06/23 | Accepted: 2018/11/14 | Published: 2019/01/1

References
1. Anderson, K. M., Sharpe, M., & Irvine, D. S. (2003). Distress and concerns in couples referred to a specialist infertility clinic. Journal of Psychosomatic Research, 54(4), 353-5. [DOI:10.1016/S0022-3999(02)00398-7] [DOI:10.1016/S0022-3999(02)00398-7]
2. Bahrami, N., Satarzadeh, N., Ranjbar Kochaksarani, F., & Ghochazadeh, M. (2007). [Investigation of sexual satisfaction and depression in fertile and infertile couples (Persian)]. Journal of Reproduction and Infertility, 8(1), 52-9.
3. Bahrami, N., Sharif Nia, H., Soliemani, M. A., & Haghdoost, A. A. (2016). [Validity and reliability of the Persian version of Larson sexual Satisfaction Questionnaire in couples (Persian)]. Journal of Kerman University of Medical Sciences, 23(3), 344-356.
4. Bandini, E., Fisher, A. D., Ricca, V., Ristori, J., Meriggiola, M. C., Jannini, E. A., et al. (2011). Childhood maltreatment in subjects with male-to-female gender identity disorder. International Journal of Impotence Research, 23(6), 276–85. [DOI:10.1038/ijir.2011.39] [PMID] [DOI:10.1038/ijir.2011.39]
5. Bartolucci, C., Gómez-Gil, E., Salamero, M., Esteva, I., Guillamón, A., Zubiaurre, L., et al. (2015). Sexual Quality of Life in gender-dysphoric adults before genital sex reassignment surgery. The Journal of Sexual Medicine, 12(1), 180-8. [DOI:10.1111/jsm.12758] [PMID] [DOI:10.1111/jsm.12758]
6. De Cuypere, G., & T'Sjoen, G. (2011). Quality of Life and sexual health after sex reassignment surgery in transsexual men. The Journal of Sexual Medicine, 8(12), 3379–88. [DOI:10.1111/j.1743-6109.2011.02348.x] [PMID] [DOI:10.1111/j.1743-6109.2011.02348.x]
7. De Cuypere, G., T'Sjoen, G., Beerten, R., Selvaggi, G., De Sutter, P., Hoebeke, P., et al. (2005). Sexual and physical health after sex reassignment surgery. Archives of Sexual Behavior, 34(6), 679–90. [DOI:10.1007/s10508-005-7926-5] [PMID] [DOI:10.1007/s10508-005-7926-5]
8. De Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696-704. [DOI:10.1542/peds.2013-2958] [DOI:10.1542/peds.2013-2958]
9. Dhejne, C., Lichtenstein, P., Boman, M., Johansson, A.L., Långström, N., & Landén, M. (2011). Long-term follow-up of transsexual persons undergoing sex reassignment surgery: Cohort study in Sweden. PLoS One, 6(2), e16885. [DOI:10.1371/journal.pone.0016885] [DOI:10.1371/journal.pone.0016885]
10. Garcia, M. M., Christopher, N. A., De Luca, F., Spilotros, M., & Ralph, D. J. (2014). Overall satisfaction, sexual function, and the durability of neophallus dimensions following staged female to male genital gender confirming surgery: The Institute of Urology, London U.K. experience. Translational Andrology and Urology, 3(2), 156-62. [PMID] [PMCID] [PMID] [PMCID]
11. Gijs, L., & Brewaeys, A. (2007). Surgical treatment of Gender Dysphoria in adults and adolescents: Recent developments, effectiveness, and challenges. Annual Review of Sex Research, 18(1), 178-224.
12. Happich, F. J. (2006). [Postoperative outcomes in transsexuality with special consideration of satisfaction: A follow-up (German)] [PhD dissertation]. Duisburg: University of Duisburg-Essen.
13. Hedjazi, A., Zarenezhad, M., & Hosseini, M. (2013). Socio-demographic characteristics of transsexuals referred to the forensic medicine center in Southwest of Iran. North American Journal of Medical Sciences, 5(3), 224-7. [DOI:10.4103/1947-2714.109198] [PMID] [PMCID] [DOI:10.4103/1947-2714.109198]
14. Hess, J., Neto R. R., Panic, L., Rübben, H., Senf, W. (2014). Satisfaction with male-to-female gender reassignment surgery: Results of a retrospective analysis. German Medical International Journal, 111(47), 795-801. [DOI:10.3238/arztebl.2014.0795] [DOI:10.3238/arztebl.2014.0795]
15. Imbimbo, C., Verze, P., & Palmieri, Al. (2009). A report from a single institute's 14-year experience in treatment of male-to-female transsexuals. The Journal of Sexual Medicine, 6(10), 2736–45. [DOI:10.1111/j.1743-6109.2009.01379.x] [PMID] [DOI:10.1111/j.1743-6109.2009.01379.x]
16. McNeil, J., Bailey, L., Ellis, S., Morton, J., & Regan, M. (2012). Trans mental health and emotional wellbeing study. Edinburgh: Equality Network.
17. Johansson, A., Sundbom, E., Höjerback, T., Bodlund, O. (2010). A five-year follow-up study of Swedish adults with gender identity disorder. Archives of Sexual Behavior, 39(6), 1429–37. [DOI:10.1007/s10508-009-9551-1] [DOI:10.1007/s10508-009-9551-1]
18. Kaplan, H., & Sadock, B. J. (2015). Comprehensive textbook of psychiatry. Philadelphia: Lippincott Williams & Wilkins.
19. Klein, C., & Gorzalka, B. B. (2009). Sexual functioning in transsexuals following hormone therapy and genital surgery: A review. The Journal of Sexual Medicine, 6(11), 2922-39. [DOI:10.1111/j.1743-6109.2009.01370.x] [DOI:10.1111/j.1743-6109.2009.01370.x]
20. Labus, L. D., Djordjevic, M. L., Stanojevic, D. S., Bizic, M. R., Stojanovic, B. Z., & Cavic, T. M. (2011). Rectosigmoid vaginoplasty in patients with vaginal agenesis: Sexual and psychosocial outcomes. Sexual Health, 8(3), 427-30. [DOI:10.1071/SH10105] [PMID]
21. Larson, J. H., Anderson, S. M., Holman, T. B., Niemann, B. K. (1998). A longitudinal study of the effects of premarital communication, relationship stability and self-esteem on sexual satisfaction in the first year of marriage. Journal of Sex & Marital Therapy, 24(3), 195-206. [DOI:10.1080/00926239808404933] [DOI:10.1080/00926239808404933]
22. Lawrence, A. A. (2003). Factors associated with satisfaction or regret following male-to-female sex reassignment surgery. Archives of Sexual Behavior, 32(4), 299–315. [DOI:10.1023/A:1024086814364] [PMID] [DOI:10.1023/A:1024086814364]
23. Lief, H. I., & Hubschman, L. (1993). Orgasm in the postoperative transsexual. Archives of Sexual Behavior, 22(2), 145-55. [DOI:10.1007/BF01542363] [PMID] [DOI:10.1007/BF01542363]
24. Löwenberg, H., Lax, H., Neto, R. R, & Krege, S. (2010). [Complications, subjective satisfaction and sexual experience by gender reassignment surgery in male-to-female transsexual (German)]. Zeitschrift für Sexualforschung (Journal of Sexology), 23(4), 328-47. [DOI:10.1055/s-0030-1262718] [DOI:10.1055/s-0030-1262718]
25. Mattila, A., Heinonen, L., Mäntymäki, A., Uusi-Mäkelä, N., & Algars, M. (2015). Effect of sex reassignment on mental well-being and Quality of Life. Duodecim, 131(4):379-81. [PMID] [PMID]
26. Nimroozian, F. (2007). [Investigation of sexual satisfaction in male and female transsexual after sex reassignment surgery (Persian)] [MSc. thesis]. Tehran: Shahed university.
27. Parola, N., Bonierbale, M., Lemaire, A., Aghababian, V., Michel, A., & Lançon, C. (2010). Study of Quality of Life for transsexuals after hormonal and surgical reassignment. Sexologies, 19(1), 24-8. [DOI:10.1016/j.sexol.2009.05.004] [DOI:10.1016/j.sexol.2009.05.004]
28. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000) The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191–208. [DOI:10.1080/009262300278597] [PMID] [DOI:10.1080/009262300278597]
29. Rubin, S. O. (1995). A method of preserving the glans penis as aclitoris in sex conversion operations inmale transsexuals. Scandinavian Journal of Urology and Nephrology, 14(3), 215–7. [DOI:10.3109/00365598009179564] [DOI:10.3109/00365598009179564]
30. Selvaggi, G., Monstrey, S., Ceulemans, P., T'sjoen, G., De Cuypere, G., & Hoebeke, P. (2007). Genital sensitivity after sex reassignment surgery in transsexual patients. Annals of Plastic Surgery, 58(4), 427-33. [DOI: 10.1097/01.sap.0000238428.91834.be] [PMID] [DOI:10.1097/01.sap.0000238428.91834.be]
31. Shimamura, Y., Fujikawa, A., Kubota, K., Ishii, N., Fujita, Y., & Ohta, K. (2015). Perforation of the neovagina in a male-to-female transsexual: A case report. Journal of Medical Case Reports, 9(1), 24. [DOI:10.1186/1752-1947-9-24] [DOI:10.1186/1752-1947-9-24]
32. Sohn, M. H., Hatzinger, M., & Wirsam, K. (2013). [Operative genital adjustment in man-to-woman transsexuality: Are there any guidelines or standards (German)]. Hand Surgery, Microsurgery, Plastic Surgery, 45(4), 207-10.[DOI:10.1055/s-0033-1343427] [PMID] [DOI:10.1055/s-0033-1343427]
33. Vitelli, R., & Riccardi, E. (2010). Gender identity disorder and attachment theory: The influence of the patient's internal working models on psychotherapeutic engagement and objective. A study undertaken using the adult attachment interview. International Journal of Transgenderism, 12(4), 241-53. [DOI:10.1080/15532739.2010.551485] [DOI:10.1080/15532739.2010.551485]
34. De Vries, A. L., Doreleijers, T. A., Steensma, T. D., & Cohen-Kettenis, P. T. (2011). Psychiatric comorbidity in gender dysphoric adolescents. Journal of Child Psychology and Psychiatry, 52(11), 1195–202. [DOI:10.1111/j.1469-7610.2011.02426.x] [PMID] [DOI:10.1111/j.1469-7610.2011.02426.x]
35. Weyers, S., Elaut, E., De Sutter, P., Gerris, J., T'sjoen, G., Heylens, G., et al. (2009). Long-term assessment of the physical, mental, and sexual health among transsexual women. The Journal of Sexual Medicine, 6(3), 752-60. [DOI:10.1111/j.1743-6109.2008.01082.x] [PMID]

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