ABSTRACT

Past research has constructed a medicalized model of trans women’s sexuality, where trans women are believed to be hyposexual and distressed by their bodies pre-transition, and are cured of their sexual dysfunction as a result of gender affirmative medical procedures. The current study engaged a community sample (N = 169) of trans feminine and nonbinary individuals assigned male at birth (TFNB) to investigate predictors of sexual experiences after addressing methodological biases of prior studies, including body satisfaction (using a modified Body Image Scale) and social contextual factors. Hierarchical regressions were conducted to test the hypothesis that after accounting for demographic variables and social contextual aspects (i.e., body satisfaction, social dysphoria, and fetishization), medical transition (i.e., hormone therapy) would not significantly predict five outcomes of sexual experience (i.e., receptive penetration, insertive penetration, importance of sex, sexual pleasure, and sexual intimacy). Across all models, medical transition was not a significant predictor of sexual experiences; however, sexual orientation, age, body satisfaction, and experiences of fetishization were frequent predictors. Results suggest that the sexual experiences of TFNB individuals do not align with the medicalized model and that demographic and contextual factors play an important role in the sexual outcomes for this population.

摘要

过去的研究构建了跨性别女性性行为的医学模型，其中跨性别女性被认为性欲低下，并因变性前的身体而感到痛苦，并且由于性别平权医疗程序而治愈了性功能障碍。当前的研究采用了跨性别女性和出生时被指定为男性 (TFNB) 的非二元个体的社区样本 (N = 169)，在解决了先前研究的方法学偏差后，调查性经历的预测因素，包括身体满意度（使用修改后的身体形象量表）和社会背景因素。进行层次回归来检验以下假设：在考虑了人口统计学变量和社会背景方面（即身体满意度、社交不安和恋物癖）后，医学转型（即激素治疗）不会显着预测性经历的五种结果（即、接受性渗透、插入性渗透、性的重要性、性快感和性亲密）。在所有模型中，医疗转变并不是性经历的重要预测因素。然而，性取向、年龄、身体满意度和恋物癖经历是常见的预测因素。结果表明，TFNB 个体的性经历与医学模型不一致，人口和背景因素在该人群的性结果中发挥着重要作用。