Sexual functioning in post-operative transsexuals: male-to-female and female-to-male.

Sex reassignment surgery has been performed on thousands of transsexual patients during the past 30 y. Yet, reports of sexual responsivity of post-operative patients are very rare. Reports of physiological measures of sexual arousal are non-existent. Seven reports are received and summarized. Methodological shortcomings and the questionable validity of self-reports render the interpretation of sexual responsivity, notably orgasm, difficult. Laboratory-based research is needed with patients who have undergone the broadening variety of surgical genital reconstruction for the male and female transsexual.