ArticleSexual medicine2016
Gender Preference in the Sexual Attractions, Fantasies, and Relationships of Voluntarily Castrated Men.
Article in Sexual medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Sexual activities, erectile dysfunction, and the use of sexual management strategies among assigned males with genital ablation interests.Sexual medicine · 2025Article
- Paraphilic Sexual Attraction to Males Without Genitals Is Associated with Traumatic Childhood Experience, Body Image, and Thoughts/Behaviors Related to Genital Ablation.Archives of sexual behavior · 2025Article
- Diagnosis and Medical Care of Male Individuals Who Seek Ablation of Their Genitalia without a Desire for Feminization.Archives of sexual behavior · 2023Article
- Exposures to information about castration and emotional trauma before puberty are associated with men's risk of seeking genital ablation as adults.Sexual medicine · 2023Article
- Choosing Castration: A Thematic Analysis of the Perceived Pros and Cons of Genital Injuries and Ablation by Men Who Voluntarily Sought Castration.Archives of sexual behavior · 2023Article
- Castration for Pleasure: Exploring Extreme Castration Ideations in Fiction.Archives of sexual behavior · 2022Article
- Sexual Function After Voluntary Castration.Archives of sexual behavior · 2021Article
- Differences in the Psychological, Sexual, and Childhood Experiences Among Men with Extreme Interests in Voluntary Castration.Archives of sexual behavior · 2021Article
- Glutamate in Male and Female Sexual Behavior: Receptors, Transporters, and Steroid Independence.Frontiers in behavioral neuroscience · 2020Review
- Cognitive Impacts of Estrogen Treatment in Androgen-Deprived Males: What Needs to be Resolved.Current neuropharmacology · 2017Review
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSome men seek castration outside a clear medical need. This study explored how their sexuality changed after castration.
aimTo explore changes in preferred gender(s) of sexual attraction, fantasy, and relationships in voluntarily castrated men with or without gonadal hormone therapy.
methodsA questionnaire was posted at http://www.eunuch.org that yielded data on men who had been voluntarily castrated physically (n = 198) or chemically (n = 96).
main outcome measuresRespondents were asked to report retrospectively on their sexuality, including their sexual activity and which gender(s) they were sexually attracted to, fantasized about, or had sexual relations with 6 months to 1 year before and after castration.
resultsA substantial proportion of men remained sexually active after castration; 37% had sex at least several times per week. Most respondents did not report a change in preferred gender(s) of attraction (65%, n = 181), fantasies (62%, n = 169), or sexual relationships (66%, n = 163), although approximately 20% to 30% of respondents did report such changes and 8% to 11% became non-sexual after castration. Respondents who were attracted to and fantasized about "only men" or who had sexual relationship with "only women" before castration were the least likely to report a change subsequent to castration. Respondents who were taking neither supplemental testosterone nor estrogen were more likely to report (i) becoming attracted to no one, (ii) fantasizing about no one, and (iii) becoming sexually inactive.
conclusionSexual changes in voluntarily castrated men vary and can be influenced by various factors including the use of supplemental testosterone or estrogen therapy.
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Registered trials
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