Transgender sexuality

[2] In the United States, transgender respondents to one 2015 survey self-identified as queer (21%), pansexual (18%), gay, lesbian, or same-gender-loving (16%), straight (15%), bisexual (14%), and asexual (10%).

[11] Author Henry Rubin wrote that "[i]t took the substantial efforts of Lou Sullivan, a gay FTM activist who insisted that female-to-male transgender people could be attracted to men.

"[8] Matt Kailey, author of Just Add Hormones: An Insider's Guide to the Transsexual Experience,[12] recounts his transition "from 40-something straight woman to the gay man he'd always known himself to be.

[15] Psychiatrist Richard Green, in an appendix to Harry Benjamin's 1966 The Transsexual Phenomenon, considers people who were assigned male at birth who have adopted a more feminine gender role.

[17] The Hijra of the Indian Subcontinent are people who were assigned male at birth but occupy a female sexual and/or gender role, sometimes undergoing castration.

[18] Mukhannathun were transgender individuals of the Muslim faith and Arab extraction who were present in Medina and Mecca during and after the time of Muhammad.

[19] Ibn Abd Al-Barh Al-Tabaeen, a companion of Aisha Umm ul-Mu'min'in who knew the same mukhannath as Mohammed, stated that "If he is like this, he would have no desire for women and he would not notice anything about them.

[21] Nadleehe of the North American Navajo hold a respected ceremonial position, whereas the Kathoey of Thailand experience more stigma comparatively.

[25] It focuses in particular on sex acts possible with flaccid penises[25] and on the innervation of pre-op and non-op trans women's genital areas.

[26][27] It both named and popularized the act of muffing, or stimulating the inguinal canals through an invaginated scrotum,[26] which can offer those with genital dysphoria a way to be penetrated from the front.

[31] Many transgender individuals choose to not use the language that is typically used to refer to sexual body parts, instead using less gendered words.

The reason for this practice, is that hearing the typical names for genitalia and other sexual body parts can cause severe gender dysphoria for some trans people.

96, Table 3.1 For transgender women, taking estrogen stimulates the development of breast tissue, causing them to increase in both size and sensitivity.

[32] A study published in 2014 found that 62.4% of trans women surveyed reported a decrease in sexual desire after hormone therapy and/or vaginoplasty.

[35] A 2009 pilot study tested the effectiveness of two treatments for HSDD in trans women: transdermal testosterone and oral dydrogesterone (a progestin).

[38] Transgender men taking testosterone are likely at increased risk of developing urinary tract infections, especially if they have receptive vaginal intercourse.

[45] Some gynephilic trans women self-report that after transitioning, they became sexually oriented towards males, and explain this as part of their emerging female identity.

[54] In the 2011 National Trans Discrimination Survey, 11% of respondents reported having done sex work for income, compared to 1% of cisgender women in the US.

Paris Lees, a British trans woman and journalist, wrote an article in June 2012 for the Independent defending criticism of Ria, star of Channel 4 documentary Ria: Teen Transsexual, who was seventeen at the time and depicted as working as a prostitute at a massage parlor, saying that the choice to engage in sex work is a matter of bodily autonomy and pointing out reasons that young trans women often turn to sex work such as low self-esteem and severe employment discrimination.

[59] A review by GLAAD of its archives of transgender-inclusive television episodes from 2002 to 2012 found that 20% of transgender characters were depicted as sex workers.

[61] Historically, transgender people were unable to access gender affirming care unless they would be considered heterosexual post surgery.

[71] Dr Norman Fisk noted those entering his clinic seeking reassignment surgery comprised a larger group than fit into the classical transsexual diagnosis.

The article notes that effeminate gay men and heterosexual fetishistic transvestites desire surgery and could be considered good candidates for it.

[73] In the DSM-III-R, released in 1987, the category of "gender identity disorder" was created, and "transsexualism" was divided into "asexual", "homosexual", "heterosexual" and "unspecified" sub-types.