Abstract The present study is aimed at understanding how trans masculine and nonbinary individuals describe aspects of their sexual dissatisfaction. Previous studies on cisgender sexual dissatisfaction have utilized narrow definitions of dissatisfaction, operationalizing it in opposition to sexual satisfaction. Moreover, the pervasive focus on the outcomes of medical intervention steps in prior sexual dissatisfaction research with trans masculine participants ignored the experiences of individuals who do not desire a medical transition or live outside of the gender binary. Participants in the current study represented a non-clinical sample of 358 trans masculine and nonbinary individuals who responded to the question: “In what ways are you dissatisfied with your sex life?” Thematic analysis revealed six overarching themes for participant dissatisfaction: 1) difficulty with orgasm, 2) partner dynamics, 3) trauma, 4) desire for different body parts, 5) gender dysphoria, and 6) medical transition. Discussion focuses on the ways in which clinicians can utilize the current findings to decrease the sexual dissatisfaction of trans masculine and nonbinary individuals.

中文翻译：

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构成跨性别男性和非双性个体性不满的因素：定性研究

摘要本研究旨在了解跨男性和非双性个体如何描述其性不满的各个方面。先前有关顺性性别不满的研究使用狭义的不满定义，将其用于反对性满足。此外，在先前对跨性别男性参与者的性不满研究中，对医疗干预步骤结果的普遍关注忽略了那些不希望进行医疗过渡或生活在性别二元之外的人的经历。这项研究的参与者代表了358个反男性和非二元性个体的非临床样本，他们回答了以下问题：“您对性生活不满意吗？” 主题分析揭示了参与者不满的六个总体主题：1）性高潮困难，2）伴侣动态，3）创伤，4）对身体不同部位的渴望，5）性别烦躁不安和6）医疗过渡。讨论的重点是临床医生如何利用当前的发现来减少跨男性和非二元性个体的性不满。