# Trans woman

A trans woman (short for transgender woman) is a woman who was assigned male at birth. Trans women have a female gender identity and may experience gender dysphoria (distress brought upon by the discrepancy between a person's gender identity and their sex assigned at birth). Gender dysphoria may be treated with gender-affirming care.

## Quotes

* The most frequent sexual dysfunctions experienced by trans women and trans men were difficulties initiating and seeking sexual contact (26% and 32%, respectively) and difficulties achieving an orgasm (29% and 15%, respectively). Compared with trans women after hormone treatment and non-genital surgery, trans women after vaginoplasty less often experienced arousal difficulties, sexual aversion, and low sexual desire. Compared with trans men without medical treatment, trans men after a phalloplasty experienced sexual aversion and low sexual desire less often.
** Mauro E. Kerckhof, Baudewijntje P.C. Kreukels, Timo O. Nieder, Inga Becker-Hébly, Tim C. van de Grift, Annemieke S. Staphorsius, Andreas Köhler, Gunter Heylens, Els Elaut; “Prevalence of Sexual Dysfunctions in Transgender Persons: Results from the ENIGI Follow-Up Study”, The Journal of Sexual Medicine, Volume 16, Issue 12, December 2019, Pages 2018-2029
* Trans women are much more likely to report sexual arousal without orgasm, and lower levels of sexual desire in general. Studies with trans women in particular find a wide variance in ability to experience orgasm post vaginoplasty surgery, ranging from 17-100% across 140 different studies. However, these studies are focused mostly on adults who transitioned in adulthood. At this time, there do not appear to be any studies which examine sexual health or orgasmic experience in trans individuals who initiated affirmative treatment prior to adulthood or the onset of puberty.
** David J. Ley, “Does Affirmative Treatment Impair Sexual Response in Trans Youth?”, (Updated March 20, 2024 Reviewed by Gary Drevitch)
* Multiple studies have compared sexual arousal levels of trans women post-operatively with sexual arousal in cisgender women. In these studies, 90–100% of trans women reported experiencing sexual arousal post-operatively, but when level of sexual arousal was assessed using the Female Sexual Function Index (FSFI), sexual arousal scores were overall lower in trans women than in their cisgender counterparts.
** Amine Sahmoud, Alicia R. Castellanos, Jessica Abou Zeki, Rachel Pope; “Sexual Function After Gender Affirming Surgery”, (09 May 2024), Volume 13, p.131
* In trans women who have initiated hormone therapy, but who have not undergone genital reconstruction surgery, difficulty in achieving orgasm was seen to decrease. In one study, the prevalence of orgasmic dysfunction decreased to 29.2% from 46.7% after the initiation of hormone therapy. Whether this finding can be attributed to the simultaneous decrease in gender dysphoria and body dysmorphia associated with the initiation of hormone therapy still needs to be investigated. Ability to orgasm in trans women post-vaginoplasty has also been studied. Due to the unique anatomy of trans women post-operatively, it must be noted that orgasms can occur at multiple locations including the clitoris and prostate via masturbation or vaginal penetration, for example. There is variability in the rates of orgasm post-operatively with studies citing percentages between 40–100%. These studies used the FSFI to assess orgasmic scores and demonstrated ranges of 2.82 to 4.0 out of 6 in comparison to cisgender women without sexual dysfunction who scored an average of 5.1. When analyzing the correlation between sexual activity and achieving orgasm, one study found that direct stimulation of the clitoris had a higher frequency of orgasm when compared to intercourse. In assessing frequency and quality of orgasms post-operatively, studies are inconsistent. While one study reported an increase in orgasm frequency with sexual activity post-operatively, another study of 91 trans women postoperatively found orgasms to occur less frequently in 52.6% of participants and more frequently in 20.5% of participants. Quality of orgasms, when investigated, was found to be more pleasurable postoperatively in 51% of a 218 person study and with no changes in 62.5% of a 31 person study.
** Amine Sahmoud, Alicia R. Castellanos, Jessica Abou Zeki, Rachel Pope; “Sexual Function After Gender Affirming Surgery”, (09 May 2024), Volume 13, p.132
* Research exploring the lived experience of sexuality for trans women is limited, with conceptualizations focusing largely on exploring deficits or the impact of gender-affirming medical care, such as hormone therapy (HT) and/or surgeries.
** Luke Ward, Alastair Pipkin, Gianni Frary, Claudia Kempinska; ““Rediscovering What I Need to Do to Give Myself Pleasure.” Trans Women’s Experiences of Their Sexualities During Gender Transition: An Interpretative Phenomenological Analysis”, Psychology of Sexual Orientation and Gender Diversity. (2024), p.2
* A further study highlights that as many as 26% of a sample of 307 trans women reported difficulties initiating sexual contact, 29% reported difficulties achieving orgasm, and that vaginoplasty was associated with a reduction in difficulties with sexual arousal and sexual aversion (Kerckhof et al., 2019).
** Luke Ward, Alastair Pipkin, Gianni Frary, Claudia Kempinska; ““Rediscovering What I Need to Do to Give Myself Pleasure.” Trans Women’s Experiences of Their Sexualities During Gender Transition: An Interpretative Phenomenological Analysis”, Psychology of Sexual Orientation and Gender Diversity. (2024), p.2
* Research into the impact of transition on sexuality reports that, following the commencement of HT, some trans women experience a temporary change in sexual desire (Defreyne et al., 2020). Research has found that trans women are less likely to engage in sexual activities before accessing gender-affirming care (Scheim & Bauer, 2019), and some experience a reduction in sexual activities after starting HT (Knezevich et al., 2012). Rosenberg et al. (2019) also found a difference in orgasm experience after commencing HT in trans women. One clinic-based study further found that as many as 32% of trans women may experience a change in sexual orientation during medical transition (Auer et al., 2014). Barcelos et al. (2022) conducted a systematic review of the available literature concerning trans women’s sexual functioning. They found that, of the 17 available studies, there was a large divergence in how sexual functioning was measured, and overall, there was limited evidence that gender-affirming surgery improved sexual functioning overall.
** Luke Ward, Alastair Pipkin, Gianni Frary, Claudia Kempinska; ““Rediscovering What I Need to Do to Give Myself Pleasure.” Trans Women’s Experiences of Their Sexualities During Gender Transition: An Interpretative Phenomenological Analysis”, Psychology of Sexual Orientation and Gender Diversity. (2024), p.2

### Julia Serano, Debunking "Trans Women Are Not Women" Arguments (2017)

    Julia Serano, Debunking "Trans Women Are Not Women" Arguments (June 27, 2017), Medium
* Women who insist that trans women are not women often object to being called “cis women” under the false assumption that it somehow undermines their femaleness — this is not at all the purpose of this language. The sole purpose of cis terminology is to name the unmarked majority (similar to how one might refer to white women, or heterosexual women, or able-bodied women, etc.). In other words, referring to someone as “cisgender” simply means that they have not had a transgender experience.
* Trans women differ greatly from one another. Perhaps the only thing that we share in common is a self-understanding that there was something wrong with our being assigned a male sex at birth and/or that we should be female instead. While some cisgender people refuse to take our experiences seriously, the fact of the matter is that transgender people can be found in virtually every culture and throughout history; current estimates suggest that we make up 0.2 – 0.3% of the population [or possibly more]. [...] In other words, we simply exist.
* Like women more generally, many trans women are feminists. Feminism and transgender activism are not in any way incompatible or mutually exclusive. As feminists who acknowledge intersectionality, we believe that we should be fighting to end all forms of sexism and marginalization — this includes both traditional sexism and transphobia. Forcing trans women into a separate group that is distinct from cis women does not in any way help achieve feminism’s central goal of ending sexism.
* Claims that trans women are not women often rely on essentialist (and therefore incorrect) assumptions about biology. For instance, people might argue that trans women are not “genetically female,” despite the fact that we cannot readily ascertain anybody’s sex chromosomes. Indeed, most people have never even had their sex chromosomes examined, and those that do are sometimes surprised by the results. Other common appeals to biology center on reproduction — e.g., stating that trans women have not experienced menstruation, or cannot become pregnant. This ignores the fact that some cisgender women never menstruate and/or are unable to become pregnant. Claims about genitals are similarly problematic: Women’s genitals vary greatly, and as with chromosomes and reproductive capabilities, we cannot readily see other people’s genitals in everyday encounters. If you and I were to meet, should I refuse to recognize or refer to you as a woman unless you show me your genitals? And frankly, what could possibly be more sexist than reducing a woman to what’s between her legs? Isn’t that precisely what sexist men have been doing to women for centuries on end?
* While gender socialization is quite real, all of us are capable of overcoming or transcending the socialization that we experienced as children. And gender socialization doesn’t simply stop when one reaches adulthood: All of us are constantly facing gender-related social pressures, expectations, and obstacles throughout our lives. If you believe that these statements are true for cis women, then they also must be true for trans women.
* Trans women do not transition out of a desire to be feminine; we transition out of a self-understanding that we are or should be female (commonly referred to as gender identity).
* Trans women who are conventionally feminine are not in any way asserting or insinuating that all women should be conventionally feminine, or that femininity is all there is to being a woman. Like cis women, trans women dress the way we do in order to express ourselves, not to critique or caricature other women.
* As a trans woman, I will be the first to admit that I cannot possibly know what any other woman experiences or feels on the inside. But the thing is, the trans-women-aren’t-women crowd cannot possibly know what any other woman experiences or feels either! Every woman is different. We share some overlapping experiences, but we also differ in every possible way. Every trans woman I know acknowledges this diversity. In contrast, it’s the cis women who attempt to exclude us who seem to have a singular superficial stereotypical notion of what constitutes a woman, or of what women experience.
* Trans women are women. We may not be “exactly like” cis women, but then again, cis women are not all “exactly like” one another either. But what we do share is that we all identify and move through the world as women. And because of this, we all regularly face sexism. That is what we should be focusing on and working together to challenge. And as I said at the outset, forcing trans women into a separate group that is distinct from cis women does not in any way help achieve feminism’s central goal of ending sexism. In fact, it only serves to undermine our collective cause.

## External links

* Authority control: WorldCat search