"Research suggests that trans people compared to cisgender people self-report significantly lower sexual pleasure, with researchers in one study finding that being younger in age, having higher genital satisfaction, and being happier in general predicting more sexual pleasure in trans people (Gieles et al., 2023). Trans people often experience elevated rates of shame, genital dissatisfaction, and body image distortion, which researchers have found to be associated with reduced sexual functioning, alongside the complexities of how medical transition might impact sexual functioning and one’s experience of sex (Barcelos et al., 2022)."