Most patients were satisfied with the sensitivity of the neoclitoris This nonparametric test was used in preference to the t-test because the Shapiro—Wilk test indicated that distribution was not normal. Other scrotal tissue forms the labia majora. Ineffective dilatation of the neovaginal canal is obviously a key factor contributing to neovaginal stenosis. Though the rate of women, who were able to achieve an orgasm, was lower in the present study than in an earlier cohort from our department [ 9 ], our data aligns well with comparable studies of a similar size [ 11 , 19 , 41 — 43 ]. Figure 5 shows a detailed illustration. Some surgeons have techniques to ensure continued depth, but extended periods without dilation will still often result in reduced diameter vaginal stenosis to some degree, which would require stretching again, either gradually, or, in extreme cases, under anaesthetic. In the majority of women, orgasms after surgery were experienced more intense than before. She was a strong advocate for the rights of transgender people.
Van Der Sluis, M. History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in The aim is the formation of a perineogenital complex in appearance and function as feminine as possible [ 1 ] with a sensitive clitoris to enable orgasms. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment. Another reason is that patients often move following successful surgery [ 5 ]. In our study, sexual attraction was referred to the self-perceived sexual identity on the basis of self-identification. However, we previously introduced a measurement tool to assess semiquantitatively the sensitivity with a customary brush and a tuning fork [ 40 ] which could be used for future studies on this topic. Studies often stress the emphasis on functional or aesthetic aspects after GAS [ 5 — 7 , 23 — 25 ] or, at best, on sexual quality of life before GAS [ 20 , 26 ]. Interestingly, Dunn et al. In the majority of women, orgasms after surgery were experienced more intense than before. This relatively minor surgery, which is usually performed only under local anaesthetic, is called labiaplasty. Some surgeons have techniques to ensure continued depth, but extended periods without dilation will still often result in reduced diameter vaginal stenosis to some degree, which would require stretching again, either gradually, or, in extreme cases, under anaesthetic. She was the subject of four surgeries: Participants Our study cohort comprised all MtF patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between and , as has been previously reported [ 6 ]. Of the study participants, Our results support this assumption. Van Hoorde et al. A representative study with over It is unclear whether this could explain differences in subjective orgasm experience before and after GAS. However in contrast to a skin derived vaginal canal of transgender women the vagina of natal women is able to expand 2. Though genital dimensions were not surveyed in our study, penile size often exceeds the depth of the vaginal canal in natal women without causing problems with, or pain during, sexual intercourse. Regarding asexuality, we followed the definition of Prause and Graham who found that asexuality is defined to be a lack of sexual interest or desire, rather than a lack of sexual experience [ 34 ]. There was a significant correlation between the ease with which patients were able to become sexually aroused and their ability to achieve orgasms. Not all patients completed the questionnaire, so for some questions the total number of responses was not Furthermore, a decline in sexual desire after sex reassignment therapy hormonal and surgical could contribute to an altered orgasmic experience [ 46 ]. This study aimed to evaluate the effect of GAS on sexuality and satisfaction with sexual life of MtF-transgender patients. Modality as to how orgasms were achieved multiple answers possible.
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