"Research on the sexual experiences of transgender persons has thus far focused predominantly on the impact of gender-confirming treatment (i.e., hormonal treatment or genital surgery to change one’s sex characteristics; hereafter referred to as “GCT”) on several aspects of sexuality. This is not surprising given that sexual experiences, such as masturbation frequency and the ability to reach an orgasm, are seen as indicators of treatment success (De Cuypere et al., 2005). There has been great variability in studies on sexual experiences in transgender people following GCT, both in terms of the outcomes under study and the study findings, which hinder comparisons across studies (for reviews, see Klein & Gorzalka, 2009; Murad et al., 2010). Nevertheless, some general observations can be made. Concerning sexual behavior, empirical research has typically focused on frequency of sex and masturbation. For transwomen (male-assigned at birth), studies have generally shown increased frequency of sex after GCT, but either decreased, increased, or unchanged frequency of masturbation (Klein & Gorzalka, 2009). Studies among trans men (female-assigned at birth) have shown either unchanged or increased frequency of sex and masturbation (Costantino et al., 2013; Klein & Gorzalka, 2009; Wierckx et al., 2011). Studies on sexual feelings after GCT have mainly focused on general measures of sexual satisfaction, as opposed to more specific measures like sexual pleasure and esteem. In general, studies have indicated increased sexual satisfaction in the majority of both trans women and trans men following GCT (Murad et al., 2010; Weigert, Frison, Sessiecq, Mutairi, & Casoli, 2013)."