Evaluating Sexual Functioning in Trans Men During the Gender Affirmation Process: A Mixed Methods Study

Recruiting

• Conditions: Sexual Functioning; Transgender Men; Gender Affirmation Surgery

• Registration Number: NCT07131267
• Lead Sponsor: Eskisehir Osmangazi University

Brief Summary

Both sexual experiences and the process of gender transition initiated to reduce gender dysphoria carry cultural characteristics. Gender categories, societal expectations for each gender, and attitudes toward sexual minorities in a given society can shape the lived experiences of trans individuals. Therefore, research on individuals with gender dysphoria in different cultural contexts is of great importance. To our knowledge, no study in Türkiye has examined sexual functioning in trans individuals undergoing gender transition. For this reason, our study aimed to investigate how sexual functioning is affected by the gender transition process in trans men with gender dysphoria, using both quantitative and qualitative methods.

Detailed Description

For the quantitative part of the study, 52 participants will receive a sociodemographic and clinical data form, Arizona Sexual Experiences Scale, Sexual Desire Inventory, Utrecht Gender Dysphoria Scale, Depression Anxiety Stress Scale-21, and WHOQOL-100 sexual quality of life subscale.

While performing a qualitative study, 12 participants will receive questions about their sexual functioning during the gender affirmation process.

Study Timeline

• Status Verified: 2025-08
• Study First Submitted: 2025-08-04
• Study Start: 2025-08-05
• Study First Submitted QC: 2025-08-19
• Last Update Submitted: 2025-08-19
• Study First Posted: 2025-08-20
• Last Update Posted: 2025-08-20
• Primary Completion: 2026-04-30
• Study Completion: 2026-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 52

Inclusion Criteria

18 years or older Diagnosed with gender dysphoria by two different physicians Getting medical support for the gender affirmation process

Exclusion Criteria

Over 65 years Diagnosed with intellectual disability, dementia, or organic mental disorders Having a systemic disease that negatively impacts sexual function Getting a score above 3 on the Clinical Global Impression Scale

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Sexual functioning	Day 1	Arizona Sexual Experience Scale: It is designed to measure five specific items identified as fundamental elements of sexual function. The scale was designed by McGahuey (McGahuey et al., 1997). The Turkish validity and reliability of the scale was conducted by Atilla Soykan (Soykan, 2004). Higher scores indicate higher levels of dysfunction.
Sexual desire	Day 1	Sexual Desire Inventory-2: It is a 14-item, self-administered questionnaire measuring sexual desire (Spector et al., 1996). It includes subscales of sexual motivation, sexual satisfaction, sexual relationship quality, activity frequency, and behavioral diversity to capture the multidimensional nature of sexual desire. The Turkish validity and reliability of the scale, along with other languages, were conducted in Castro-Calvo's study (Castro-Calvo et al., 2024). High scores indicate high sexual desire.

Trial Locations

Locations (1)

Eskişehir Osmangazi University, Faculty of Medicine, Department of Psychiatry; 🇹🇷 Eskisehir, Türkiye, Turkey