New women: Sexological outcomes of male-to-female gender reassignment surgery

This research study investigated sexological outcomes of gender reassignment surgery in 17 postoperative male-to-female transsexuals (new women). Study procedures included self-report questionnaires, a structured interview, a medical history and physical examination with gynecological evaluation (the New Woman's Gynecological Index), and neovaginal blood flow assessment by photoplethysmography. The results of descriptive analysis, correlational analysis, discriminant analysis, and multiple regression analysis identifying predictors of good sexual functioning are presented. Gender reassignment was rated as successful by 94% of the new women. Two-thirds of the new women were orgasmic. The best predictors of orgasmic potential were genital sensitivity and congruence between gender identity and body. The best predictors of sexual satisfaction were the Stress Inventory total score and the genital neurosensory evaluation. The best predictors of overall success of gender reassignment were vaginal depth and vulvar cosmesis.