Evidence map›Paper›PMID 38216784›Full record

ArticleArchives of sexual behavior2024

Gender Dysphoria and Sexual Euphoria: A Bayesian Perspective on the Influence of Gender-Affirming Hormone Therapy on Sexual Arousal.

Manfred Klöbl, Murray Bruce Reed, Patricia Handschuh, Ulrike Kaufmann, Melisande Elisabeth Konadu, Vera Ritter, Benjamin Spurny-Dworak, Georg S Kranz, Rupert Lanzenberger, Marie Spies

Registry-linked trialAbstract read
In one paragraph

Article in Archives of sexual behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02715232 (Effects of Sex Steroid Hormones on Serotonin Synthesis and Degradation Measured With PET), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT02715232 phase4unknown statusnot on this map

Effects of Sex Steroid Hormones on Serotonin Synthesis and Degradation Measured With PET

TypeinterventionalSponsorMedical University of ViennaRan2017 to 2020Enrolled92ConditionsGender DysphoriaArmsTestosterone, Lynestrenol, Cyproterone Acetate, Estradiol, Triptorelin acetate
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Manfred KlöblDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.ORCID 0000-0003-2107-8803
Murray Bruce ReedDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Patricia HandschuhDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Ulrike KaufmannDepartment of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
Melisande Elisabeth KonaduDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Vera RitterDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Benjamin Spurny-DworakDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Georg S KranzDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Rupert LanzenbergerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. rupert.lanzenberger@meduniwien.ac.at.ORCID 0000-0003-4641-9539
Marie SpiesDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Funding

Austrian Science Fund KLI 504Austrian Science Fund KLI 516Brain and Behavior Research Foundation 23741Bundesministerium für Wissenschaft, Forschung und Wirtschaft Interdisciplinary translational brain research cluster (ITHC) with highfield MRÖsterreichischen Akademie der Wissenschaften DOC
6 · The paper itself

Abstract

Self-reported sexual orientation of transgender individuals occasionally changes over transition. Using functional magnetic resonance imaging, we tested the hypothesis that neural and behavioral patterns of sexual arousal in transgender individuals would shift from the assigned to the experienced gender (e.g., trans women's responses becoming more dissimilar to those of cis men and more similar to those of cis women). To this aim, trans women (N = 12) and trans men (N = 20) as well as cisgender women (N = 24) and cisgender men (N = 14) rated visual stimuli showing male-female, female-female or male-male intercourse for sexual arousal before and after four months of gender-affirming hormone therapy. A Bayesian framework allowed us to incorporate previous behavioral findings. The hypothesized changes could indeed be observed in the behavioral responses with the strongest results for trans men and female-female scenes. Activation of the ventral striatum supported our hypothesis only for female-female scenes in trans women. The respective application or depletion of androgens in trans men and trans women might partly explain this observation. The prominent role of female-female stimuli might be based on the differential responses they elicit in cis women and men or, in theory, the controversial concept of autogynephilia. We show that correlates of sexual arousal in transgender individuals might change in the direction of the experienced gender. Future investigations should elucidate the mechanistic role of sex hormones and the cause of the differential neural and behavioral findings.The study was registered at ClinicalTrials.gov (NCT02715232), March 22, 2016.

Indexed as

Bayes TheoremGender DysphoriaMagnetic Resonance ImagingSexual ArousalTransgender PersonsAdultFemaleHumansMaleSexual BehaviorVentral StriatumYoung AdultBayesian analysisFunctional magnetic resonance imagingGender-affirming hormone therapySexual arousalTransgenderVentral striatum

Identifiers

PMID38216784
PMCPMC11106106

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.