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Gender and Sexuality
Published in Mohamed Ahmed Abd El-Hay, Understanding Psychology for Medicine and Nursing, 2019
The physical changes associated with puberty include the development of primary and secondary sex characteristics. Primary sexual characteristics are those needed for reproduction, these involve development of the uterus in girls, and testicles in boys. Girls begin their menstrual cycle. Boys might experience their first ejaculation. Secondary sexual characteristics are not necessary for reproduction but appear during sexual maturation, these include breast development and widening of the hips in girls and voice changes and facial hair in boys.
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Published in James Barrett, Transsexual and Other Disorders of Gender Identity, 2017
A proportion of these requests come from men who have not changed their gender role and who do not intend to do so, although they may not readily admit this. Their motivation might well be dysmorphophobia directed towards primary sexual characteristics, or perhaps the effects of androgens (see‘Dysmorphophobia’, p. 37).
Sexual Modesty in Sexual Expression and Experience: A Scoping Review, 2000 - 2021
Published in The Journal of Sex Research, 2022
J. Dennis Fortenberry, Devon J. Hensel
The binary gendered aspects of sexual modesty take on additional nuance in consideration of public and health-care experiences of gender diverse people. Body areas with gendered rules for display and examination – the chest, for example – may be subjected to different sexual modesty standards before and after gender affirming surgeries (Boso, 2009; Jones et al., 2017; Olson-Kennedy et al., 2018). Many gender diverse people suffer from gender dysphoria that includes both rejection of primary sexual characteristics as well as desire for different primary sexual characteristics. The incongruence of a body that differs from one’s gender experience is often associated with reluctance to see, touch, or acknowledge one’s body as well as reluctance to be touched or seen by another person, including health-care providers. In particular, viewing/touching of chest and genitals by others is emotionally difficult for many gender diverse people. Physical examination – both visual and touch – may be part of evaluation for gender affirming therapy but may activate dysphoria through a sense of failing in body standards for one’s experienced gender (Vardi et al., 2008).