Relationships

  • Medical transition reduces dating pool size and likelihood of marriage. Expand
    Medical transition reduces dating pool size and likelihood of marriage.

    Individuals undergoing biomedical interventions to address their gender dysphoria are at risk for having a greatly diminished pool of individuals who are willing to sustain an intimate physical and loving relationship [1].

    This is evidenced in the much lower marriage rates of transgender adults [2].

    REFERENCES

    [1] Levine, S. (2018). Informed Consent for Transgendered Patients. Journal Of Sex & Marital Therapy, 45(3), 218-229. [Link]

    [2] Yarbrough, E. (2018). Transgender mental health. Washington, DC: American Psychiatric Association Publishing. [Link]

  • There is evidence that it is harder to sustain meaningful sexual relationships after medical transition. Expand
    There is evidence that it is harder to sustain meaningful sexual relationships after medical transition.

    A study [1] on informed consent found that male-to-female transitioners who are attracted to men may discover that men who are sexually interested in them are specifically interested in their trans status, and have no interest in serious long-term relationships. 

    The same study noted that male-to-female transitioners who are attracted to women may find that lesbians are unwilling to engage in a sexual relationship with a male.

    Because most female-to-male transitioners do not undergo phalloplasty, their ability to attract desirable sexual partners, and sustain relationships with them, could be compromised.

    Only a single case [2] of a female-to-male transitioner treated with puberty blockers followed by cross-sex hormones and surgeries has feen followed long-term.

    The individual, who was in his thirties during the follow up, reported an inability to have a satisfying sexual life due to “shame about his genital appearance and his feelings of inadequacy in sexual matters”. The researchers concluded, that despite the gender reassignment, “in the area of intimate relationships, it may remain difficult to find a suitable partner”.

    REFERENCES

    [1] Levine, S. (2018). Informed Consent for Transgendered Patients. Journal Of Sex & Marital Therapy, 45(3), 218-229. [Link]

    [2] Cohen-Kettenis, P., Schagen, S., Steensma, T., de Vries, A., & Delemarre-van de Waal, H. (2011). Puberty Suppression in a Gender-Dysphoric Adolescent: A 22-Year Follow-Up. Archives Of Sexual Behavior 40 (4): 843-847. [Link]

  • Young transgender people are at elevated risk of contracting HIV and other STDs. Expand
    Young transgender people are at elevated risk of contracting HIV and other STDs.

    Transgender adolescents and young adults, particularly trans females, are at a disproportionately high risk of contracting human immunodeficiency virus [1] and other sexually transmitted diseases [2].

    REFERENCES

    [1] Poteat, T., Scheim, A., Xavier, J., Reisner, S. & Baral, S. (2016). Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People. Journal of Acquired Immune Deficiency Syndromes 72 (Suppl 3). [Link]

    [2] Reisner, S.L., Vetters, R., Leclerc, M., Zaslow, S., Wolfrum, S., Shumer, D. & Mimiaga, M.J. (2015). Mental Health of Transgender Youth in Care at an Adolescent Urban Community Health Center: A Matched Retrospective Cohort Study. Journal of Adolescent Health 56 (3): 274-279. [Link]