tailieunhanh - ORIGINAL RESEARCH—INTERSEX AND GENDER IDENTITY DISORDERS

Pacific country populations remain highly vulnerable to HIV infection due to, small highly mobile populations, high rates of STIs and high rates of at risk sexual behaviour. There have been approximately 30,000 reported cases of people living with HIV in the Pacific, but this figure is under-representative due to limited surveillance capacity across the region. Notably, cases from Papua New Guinea make up a significant majority of the total cases detected in the Pacific—from 21% in 1989 to over 99% in 2008. Condoms are a core method of family planning and are the only form of contraception that can effectively. | 3379 ORIGINAL RESEARCH INTERSEX AND GENDER IDENTITY DISORDERS Quality of Life and Sexual Health after Sex Reassignment Surgery in Transsexual Men Katrien Wierckx MD Eva Van Caenegem MD Els Elaut MrSc David Dedecker Fleur Van de Peer Kaatje Toye Steven Weyers MD PhD 1 Piet Hoebeke MD PhD Stan Monstrey MD PhD 1 Griet De Cuypere MD PhD and Guy T Sjoen MD PhD Department of Endocrinology University Hospital Ghent Ghent Belgium Department of Gynaecology University Hospital Ghent Ghent Belgium Department of Sexology and Gender Problems University Hospital Ghent Ghent Belgium department of Urology University Hospital Ghent Ghent Belgium Department of Plastic Surgery University Hospital Ghent Ghent Belgium DOI ABSTRACT------------------------------------------------------------------------------------------ Introduction. Although sexual health after genital surgery is an important outcome factor for many transsexual persons little attention has been attributed to this subject. Aims. To provide data on quality of life and sexual health after sex reassignment surgery SRS in transsexual men. Methods. A single-center cross-sectional study in 49 transsexual men mean age 37 years after long-term testosterone therapy and on average 8 years after SRS. Ninety-four percent of the participants had phalloplasty. Main Outcome Measures. Self-reported physical and mental health using the Dutch version of the Short Form-36 Health Survey sexual functioning before and after SRS using a newly constructed specific questionnaire. Results. Compared with a Dutch reference population of community-dwelling men transsexual men scored well on self-perceived physical and mental health. The majority reported having been sexually active before hormone treatment with more than a quarter having been vaginally penetrated frequently before starting hormone therapy. There was a tendency toward less vaginal involvement during hormone therapy and before SRS. Most participants .