"Body incongruence, a key element of gender identity problems, hinders sex and enjoyment of sex (Door-duin & Van Berlo, 2014). Also, gender incongruence is often accompanied by body dissatisfaction thatis not confined only to the genitals (van de Grift, Cohen-Kettenis et al., 2016). In both samples, bodysatisfaction was positively related to almost all of our indicators of sexual behaviors and feelings, under-lining the importance that body satisfaction plays in sexual experiences in transgender people. This is in line with a previous study that showed that MtF transgender persons who indicated a higher degreeof satisfaction with their appearance also reported a better sexual functioning (Weyers et al., 2009). Psychological well-being played a role in the sexual feelings of FtM transgender persons only, with higher psychological well-being being related to higher sexual satisfaction, agency, and esteem. Secondary analyses (not shown here) showed that psychological well-being was positively related to these indicators of sexual feelings in MtF transgender persons as well, but this relationship disappeared after including body satisfaction in the analyses. This suggests that psychological well-being and body dissatisfaction in MtFtransgender persons are highly related and that sexual feelings are mainly affected by body dissatisfaction."
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pp.378-379
https://en.wikiquote.org/wiki/Transgender
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