title: Psychophysiological and subjective sexual arousal to visual sexual stimuli in new women.
abstract: Conflicting data exist regarding the sexual arousal patterns of post-operative male-to-female (MTF) women with Gender Identity Disorder. The purpose of this study was to examine objective and subjective aspects of the sexual arousal response using a vaginal photoplethysmograph. Fifteen MTF women viewed neutral and erotic audiovisual film segments while their blood flow patterns were monitored. Subjective measures of affect and sexual arousal were taken before and immediately after the films. There was a significant increase in self-reported subjective arousal, perceived genital arousal, perceived autonomic arousal, and positive affect; however, movement artefacts interfered with our assessment of the genital arousal response. MTF women reported both low levels of pain and low levels of awareness of the vaginal probe during testing. These data are discussed in the context of differences in pelvic musculature between natal and new women and have implications for future studies that aim to measure sexual arousal objectively in MTF women.
authors.affiliation: Department of Obstetrics/Gynaecology, University of British Columbia, Vancouver, Canada. Lori.Brotto@vch.ca
authors.forename: Lori A
authors.initials: LA
authors.lastname: Brotto
authors.forename: Darlynne
authors.initials: D
authors.lastname: Gehring
authors.forename: Carolin
authors.initials: C
authors.lastname: Klein
authors.forename: Boris B
authors.initials: BB
authors.lastname: Gorzalka
authors.forename: Sydney
authors.initials: S
authors.lastname: Thomson
authors.forename: Gail
authors.initials: G
authors.lastname: Knudson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010775:Photic Stimulation; D010991:Plethysmography / Q000379:methods*; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires; D014189:Transsexualism / Q000523:psychology* / Q000601:surgery*; D014621:Vagina / Q000098:blood supply* / Q000502:physiology