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151 Cards in this Set

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Benefits of effective contraception

-improves maternal health


-woman can gain education and enter workforce


-less financial strain


-many teen mothers live in poverty, receive welfare, don't finish high school, and are more likely to have another child within 2 years; teen fathers often can't pay child support

Ancient birth control

-ingesting silphium, mercury, arsenic


-inserting psecial tampons


-practising intra-crural intercourse (thighs)


-reusable linen and intestine condoms


-infanticide

Contraception in Canada

-initially illegal, only the rich could afford the under-the-table methods


-birth control advocacy started in 20's and baby boom increased concerns for pop control


-Trudeau removed contraception from criminal code

China's one child policy

-successful for population control and improving economy and health


-may be dangerous for poor women


-forced abortions, neglect or murder of baby girls

Hormonal contraceptives

-inhibit ovulation, thins endometrium and / or consistency of cervical mucous


-don't need to think about during intercourse, regulates menstrual cycle


-don't protect against STIs


Perfect = 0.3%, Typical = 8%

Combination hormonal contraceptives

-decrease acne, decrease PMS, decrease risk of endometrial and ovarian cancer


-can cause spotting, tender breasts, headaches, nausea, weight gain, mood swings, and lowered libido

Oral pill

Usage: taken daily, break every 21 days for menstruation


Pros: easy


Cons: may forget

Transdermal Patch

Usage: applied on skin every week for 3 weeks, then break for menstruation


Pros: only once a week


Cons: not discrete, can cause rash

NuvaRing

Usage: inserted in cervix for 3 weeks then removed after 1 week


Pros: only once a month


Cons: discomfort, vaginitis

Progestin-only hormonal contraceptives

-for women who can't tolerate estrogen methods, women over 35, smokers, breastfeeding women


-could cause irregular bleeding and other side effects

Mini-pill

Usage: daily pill without breaks for menstruation


Pros: easy


Cons: must be taken at exact time every day

Depo-Provera

Usage: intramuscular injection by professional every 3 months


Pros: infrequent, reduced risk of endometrial cancer, endometriosis, and CPP


Cons: weight gain, mood swings, decrease in bone mineral density

Levonorgestrel-releasing intra-uterine system (LNG-IUS)

Usage: t-shaped device with slow-release hormone inserted into uterus with plastic string hanging out of vagina


Pros: good for 5 years, low hormone dosage, reduced menstruation


Cons: risk of uterine perforation or infection, ovarian cysts, PID, expulsion


Failure rate = 0.2%

Barrier methods

-safe while breastfeeding


-can be applied by individual within time frame before sex occurs


Intra-uterine devices

Usage: t-shaped device inserted into uterus that inhibits implantation by making uterus inhospitable to sperm


Pros: lasts 5 years, less risk of endometrial cancer


Cons: risk of irregular bleeding, PID, expulsion


Failure rate = 0.6%

Cervical barrier methods

-usually used with spermicide


-may increase risk of toxic shock syndrome


-no STI protection


-unsuitable with vaginal or UTIs


Sponge

Usage: moisten with water, lasts 12-24 hours, removed 6-8 hours after ejaculation


Pros: no prescription, contains spermicide, lasts long


Cons: high failure rate if not used correctly


Nulliparous - Perfect = 9%, Typical = 16%


Parous - Perfect = 20%, Typical = 32%

Lea contraceptive

Usage: place against cervix with rounded tab facing vaginal wall, removed 6-8 hours after sex, can be reused for 6 months


Pros: 8 hours of protection, no prescription, one size fits all


Cons: must be cleaned after each use


Spermicide = 8.7%


Without = 12.9%

Cervical cap

Usage: held in place against cervix by suction


Pros: silicone, can be left in for 72 hours


Cons: can be dislodged during sex, may cause odour


Nulli - Perfect = 9%, Typical = 20%


Parous - Perfect = 26%, Typical = 40%

Diaphragm

Usage: inserted up to 6 hours before sex and removed within 24 hours, replace every 2 years


Pros: reduced risk of cervical dysplasia


Cons: difficult to find right spermicide, prescription only, requires fitting


Perfect = 6%, Typical = 16%

Spermicide

Usage: paired with barrier methods, only effective for one intercourse


Pros: all but VCF can lubricate, no prescription, can reduce risk of PID


Cons: contains nonoxynol-9 which may cause irritation and infection (STIs), can be messy and bad tasting


Perfect = 18%, Typical = 29%



Vaginal contraceptive film - inserted in vagina at least 15 mins prior to intercourse


Bioadhesive jelly - inserted with applicator, effective immediately for 24 hours


Foam - applicator, effective immediately for 1 hour


Suppositories - inserted 10 mins prior to intercourse, effective for 1 hour


Jellies / creams - for diaphragm / cervical cap, effective for 6-8 hours or 1 hour when used alone


Female condom

Usage: physical barrier traps sperm, inserted up to 8 hours before sex, flexible ring in cervix, outer portion covers vulva


Pros: protects against STIs more, made from polyurethane, can be used in anus


Cons: bulky, makes noise during sex, expensive


Perfect = 5%, Typical 21%

Male condom

Usage: rolled onto penis, must be used with water-based lubricant (latex, polyurethane, silicone)


Pros: protects against STIs, readily available and cheap


Cons: effective decreases if expired or not stored properly, reduces sensitivity

Tubal ligation

Usage: surgery either laparoscopically or transcervically, seals fallopian tubes through tying, burning, or cutting


Pros: after 3 months, never have to think about contraception


Cons: no STI protection, side effects, increased risk of ectopic pregnancy

Vasectomy

Usage: surery either through puncture in scrotum or incisions, removes segment from vas deferens and ends are sealed with suture or clips


Pros: simple procedure, few complications


Cons: potential side effects, need to analyze semen to ensure no more sperm

Natural methods

-reversible


-supported by religious groups


-no STI protection

Fertility awareness methods

-based on physiology and menstrual cycle


-good to gain understanding of body and health


-intercourse limited to certain time periods and can be time-consuming


-doesn't work with irregular menstrual cycles


Sympto-thermal approach - charts basal body temperature, cervical position, and cervical mucus to predict fertility

Calendar-based methods

Rhythm method - based on length of last 12 cycles; shortest cycle minus 20 and longest cycle minus 10 is fertile time


Standard-days method - assumes days 8-19 are unsafe for unprotected sex for women whose menstrual cycles are between 26-32 days

Lactational amenorrhea

-breastfeeding causes hormonal suppression of ovulation


-98% effective if baby is less than 6 months

Abstinence

-often tied to religious / moral prohibitions against premarital sexual activity


-100% effective against pregnancy but not necessarily STIs

Reasons for taking sexual risks

Situational factors


-poverty, limited access, substance use/abuse


Personality factors


-impulsivity, extraversion, neuroticism


Relationship factors


-abuse and power dynamics

Information-motivation-behavioural skills (IMB) model

-can identify ways to reduce sexual risk-taking


-contraceptive info needs to be easy to understand and accessible


-individual needs motivation that may come from personal attitudes, social norms, and perceived vulnerability to pregnancy and STIs


-behavioural skills developed so he/she is confident to implement birth control strategy


-must have access to birth control and discuss it with partner


-focused on providing info tailored to individual needs, developing positive attitudes toward contraceptive use, helping individuals build behavioural skills to make good contraception choices

Emergency contraception

-used after intercourse before egg implants in uterine lining


Plan B (levonorgestrel)


Yuzpe (levonorgestrel, ethinyl estradiol, estrogen)


-should be taken max 72 hours after coitus


-IUD can be inserted 7 days after coitus, 100% effective

Therapeutic abortion

when health or survival of mother of fetus is at risk

Elective abortion

may be performed because of financial concerns, not feeling ready for child, relationship problems, rape

History of abortion

-Dr. Morgentaler opened abortion clinic in 1969 and was arrested and taken to court, spurring feminist protests and national abortion-rights group


-abortion became legal in 1988

Medical abortions

-can be performed up to 9th week of gestation


-injection to stop fetus growth, then ingestion or insertion to cause uterus to contract and expel contents


-can cause nausea, headache, fever

Manual vacuum aspiration

-first 7 weeks


-tube inserted through cervix and syringe removes contents of uterus by suction


-10 mins

Vacuum suction curettage

-6th to 14th week


-dilation of cervix with laminaria tents or rod-like dilator instruments, then tube is inserted through cervix into uterus, contents are suctioned out and curette scrapes uterine lining to ensure all of tissue has been removed


-10 mins

Dilation and evacuation

-13th to 16th or 24th week


-similar to vacuum suction curettage

Second and third trimester abortions

-after 20th week


-require feticide


-inject substances to stop fetal heart and remove it through cervix and induce labour

Public / government adoptions

less involvement with birth mother

Private adoptions

more control for birth mother

History of syphilis

-one of oldest STIs on record


-has been treated with mercury, arsenic


-Tuskegee

History of HIV

-simian immunodeficiency virus was probably source when Africans butchered primates for bush meat


-AIDS became #1 cause of death in men under 50 in US and Canada

AIDS controversy in America

-characteristics of AIDS-infected individuals and fear of contagion lead to stigma and rejection of people with AIDS, health care providers, and public health personnel trying to prevent the spread


-AIDS activists tried to influence gov't to provide care, end discrimination, and facilitate drug availability for people with AIDS in violent ways


-AIDS prevention posters at Western deemed obscene and had to be removed from public display


-research focused on how to prevent people from getting HIV and less on how to prevent infected people from spreading it


Antiretroviral drug

-can halt replication of HIV and stop progression from HIV infection to full-blown AIDS


-can make HIV manageable


-but expensive and have serious side-effects


-rates of adherence may decrease

Bacterial STIs

chlamydia, gonorrhea, syphilis,

Viral STIs

herpes, HPV, HIV, hepatitis

Other STIs

trichomoniasis, pubic lice and scabies, moniliasis, bacterial vaginosis

Secondary preventative measures

-sign and symptom awareness


-STI screening and testing


-Pap tests


-adherence to treatment


-partner notification

Screening for STIs

-testing in absence of evident symptoms


-HPV and HSV cannot be detected

Testing for STIs

when individual believes they may have been exposed

Surveying students' definition of having sex

-involves mutual genital contact and orgasm


-if person does not include certain sexual activities in definition of sex, he / she may be less likely to use protection for that behaviour and may not receive proper care / info from doctor

Sex

any solo or partnered activity involving behaviours that are expression of sexual arousal and / or desire

Factors affecting age of first intercourse

-positive emotional family connection, parental disapproval of early sex and contraceptive use, greater parental control, higher academic achievement and participation, greater religiosity all related to later age of first intercourse


-exposure to more sexual content on TV related to earlier first intercourse

Hymen reconstruction

-lack of evidence of woman's virginity on wedding night can be source of disgrace to family and may result in divorce of violence


-can protect woman's physical, psychological and social well-being

Sexual consent

-clear understanding of what person is consenting to


-consent is given freely without coercion or being under the influence

Sexual compliance

when person freely consents to engaging in sexual activity even when he/she doesn't truly want to

Traditional sexual script

cultural-level social script reflected in media and actual sexual practices


-touching and kissing considered foreplay


-becoming more flexible and varied, focus moving away from intercourse and orgasm

Gender differences in fantasizing

men fantasize more frequently, and more about casual sex


-women fantasize more about affection or foreplay

Same-sex sexual activity

-spend more time in sensual non-orgasmic activities


-consider them more important and derive more satisfaction from them

Frottage

dry humping

Tribadism

rubbing vulva against person's body

Orgasm

intense sexual arousal that peaks and is followed by contractions of pelvic muscles


-affected by individual factors, relational factors, lifestyle factors


-viewed as goal of love-making, end of session and indicator of sexual satisfaction


-idea that orgasm is supposed to happen can cause performance anxiety

Sexual satisfaction

-reflects interpersonal and affective qualities of sex


-quality of sex and intimacy


-greater when individuals experience more sexual rewards than costs relative to expectations and greater equality of sexual rewards and costs


-want to include more of what is pleasing and less of what is displeasing

Online dating

at least one, if not both, parties have substantial info about the other


-relatively stable


-intimacy develops quickly

Predictors of long relationships

-healthy communication


-effective conflict resolution

Satisfaction over time

-relationship satisfaction, sexual satisfaction, and frequency of sex do not necessarily decrease over time


-satisfaction fluctuates with life circumstances and age


-decrease in sex frequency does not mean decrease in sexual satisfaction

Divorce

-rate for first marriages in Canada is 33%


-average length 14.5 years


-high chance of remarrying with increased probability of divorce

Friends with benefits

ongoing, sexual, with no sexual or emotional exclusivity required and rarely discussed or revealed to others


-men more motivated by desire for sex, hope relationship will stay same


-women more motivated by emotional connection and hope relationship will evolve into romantic relationship or platonic friendship


-value friendship over sexual activity


-not preferred form of sexual relationship

Polyamory

-relationship more based on love than sex


-children may suffer from social stigma


-partners may have primary relationships with others being considered secondary, or may form unit of triad, quad


-some are exclusive, some open


-most are public


-appeal to bisexuals, transgenders, BDSM

Polygyny

Polygyny = man, Polyandry = woman


-tend to be conservative in religious views and lifestyle (associated with Islam and Mormonism)


-hierarchy of wives


-could be harmful to welfare of women and children; lack of social power, levels levels of education, younger age at marriage and childbirth, isolation from society


-women report psychological distress, financial stress, domestic violence, marital problems


-children experience more emotional and academic difficulties

Swinging

married couples agreeing to and participating in sex with other individuals, usually at same time


-purely sexual, no love


-most heterosexual, Caucasian, conservative


-drop out because of jealousy and fear of STIs


-want to live with other strangers, form emotional attachment with other couple, or want pleasure and fun

Open relationships

emotionally exclusive relationship where both consent to one or both partners having sexual relations without emotional bonds with other people


-no partner swapping, not at same time

Infidelity

takes place covertly in context of 'monogamous' relationship


-most common reasons for separation and divorce


-associated with individual background factors and relational factors


-more associated with current complaints than overall dissatisfaction

Agenda-setting theory

-media highlights what we should pay attention to


-certain issues become more salient and influence attitudes

Cultivation theory

we develop shared set of values and expectations about reality based on depictions in media


-depict sex in similar ways according to societal values and stereotypes

Social learning theory

individuals model attitudes and behaviours after characters they see in media, especially when characters are rewarded

Media on sexuality

-can reinforce unrealistic expectations, irresponsible behaviours and stereotypes


-can also educate individuals about sexual health issues, meanings of terms and behaviours and sexual and relationship norms


-can provide quick access to reliable info, offer diverse sexual models, and allow vicarious sexual and relationship norms and ideals

Internet on sexuality

-driven by accessibility, affordability and anonymity


-online sexual activity grouped into categories of establishing and maintaining relationships, obtaining sexuality info and obtaining sexual gratification


-gay and bisexual men make greater use of sexual internet

Online sexual activity

-over-involvement in solitary OSA may result in one partner neglecting his / her responsibilities toward other


-online affairs may lead to offline affairs


-mild or moderate OSA can benefit relationships

Proximity

familiarity with mere and repeated exposure


-fake student experiment


LDRs had more distress and less satisfaction, lower certainty about future

What is attractive?

-faces that are averaged and symmetrical


-women with lower-than-average BMIs and waist-to-hip ratios; baby face and mature characteristics


-men with higher WHRs, more muscle and less fat

Reciprocity

we like people who are attracted to us

Similarity

like attracts like

Fertility and attraction

-women prefer men with more masculine facial features when fertile and more feminine faces during low fertility


-men find women more attractive and better smelling when women are fertile

Major histocompatibility complex

-people prefer partners who have MHC genes dissimilar to their own to ensure better immunocompetence for offspring


-may affect women's sexual behaviour and attraction to people who aren't their primary partners


-MHC similarity bw partners associated with women's decreased sexual responsiveness to partner and increased attraction to other man and higher infidelity

Pick-up lines

-people prefer innocuous and direct pick-up lines over cute-flippant ones


-women prefer innocuous more than men


-third-party introductions may be most effective

Intimacy

level of commitment and positive affective, cognitive and physical closeness one experiences with partner in reciprocal relationship


-characterized by affection, caring, trust, understanding, sharing and togetherness


-types include emotional, social, sexual, intellectual, recreational

Attachment theory

formation of relationships in adulthood is shaped by early experiences and attachment to caregivers in childhood

Bartholomew's 4 styles of adult attachment

-positive view of self means internalized sense of self-worth and expecting others to react positively


-positive view of others means expecting others to be supportive and available


1) Secure


-high SE, can form and maintain intimate relationships without difficulty


2) Preoccupied


-often feel unworthy, are dependant on others for approval, and may be needy / demanding


-destructive use of anger


3) Fearful


-experience low self-worth and actively avoid intimacy for fear of being rejected


4) Dismissing


-feel self-reliant and perceive intimacy as unimportant



-people with less secures styles may adopt short-term mating strategy

Passionate love

state of intense longing for union


-has behavioural components, cognitive components, emotional components


-feelings of euphoria, increased energy, obsessive thinking

Compassionate love

warm state


-affectionate and tenderness we feel for soemtone with whom our lives are deeply connected

Sternberg's duplex theory of love

focuses on structure and development of love


consists of triangular theory of love and theory of love as a story

Love and the brain

-increased activity in dopamine-rich reward and motivation systems


-decreased activity in areas involved in social judgement and negative emotions


-shares brain patterns with cocaine use


-decreases critical assessment of others

Triangular theory of love

1) Intimacy - feelings of closeness and connection


2) Passion - physical arousal and attraction


3) Commitment - decision that one loves another and to maintain love


-liking (intimacy) is friendship


-infatuation (passion) is love at first sight


-empty love (commitment) where intimacy and attraction has faded or never existed


-romantic love (passion + intimacy)


-companionate love (intimacy + commitment) is deep friendship


-fatuous love (passion + commitment) has high risk of divorce


-consummate love (all 3) is complete love


Theory of love as story

develop own love stories based on personalities, experiences, and media and strive to fulfil them


-best are travel story, gardening story, history story, democratic story; worst are horror story, collector story, autocratic gov't story, game story

Theory of love styles

1) Eros: romantic, erotic, passionate love


2) Storge: based on friendship and compatibility


3) Ludus: game-playing, no commitment


4) Pragma: practical rational decision-making


5) Mania: dependent, possessive, obsessive


6) Agape: altruistic, compassionate, givers

Two-factor theory of love

emotions result from interaction of physiological arousal and cognition


-passionate love arises when intense physiological arousal is experienced and situational cues prompt person to apply cognitive label to arousal


-possible for misattribution of arousal to occur when arousal is misinterpreted as love (bridge study)

Optimal sexuality

components of authenticity, being present, connection with partner, exploration / interpersonal risk-taking, extraordinary communication / heightened empathy, transcendence, vulnerability, deep sexual and erotic intimacy

Jealousy

emotional response to rejection by partner for rival


-when situation is perceived as threatening to one's relationship or self-esteem that can lead to physiological arousal, emotions, behaviours


-men more jealous of sexual infidelity


-women more jealous of emotional infidelity


-gay men don't experience great jealousy of sexual infidelity

Facebook on jealousy

-women more jealous with Facebook use


-contains info that may be ambiguous and perceived as threatening


-infidelity in men predicted by personality variables related to sexual behaviours


-infidelity in women predicted by personality and relationship factors

Bias for beauty

good-looking people assumed to be more likeable, interesting, sociable, successful, and talented, but also less responsible and compassionate


-attractive people have advantages in workplace and courtroom

Self-monitoring

tendency to regulate social behaviour to meet demands of different social situations


-males low in this are interested in substance and personality and talent


-males high in this are interested in attractiveness

Contraception and attractiveness

-men rate themselves as less attractive when partner is on HC


-women choose less masculine looking partners


-lower sexual satisfaction and partner attraction


-less likely to separate


-fewer one-night stands, fewer partners, more frequent couple sex

Non-verbal commnication

people believe it more


-provides info about people's moods and what they really mean, regulates interactions, defines relationships

Negative reciprocity

tendency of partners to maintain or escalate negative communication

Demand-withdraw

one partner pressures other through emotional demands, criticisms, complaints while other retreats through withdrawal, defensiveness, passiveness

Gender differences in conflict resolution

-women encouraged to be expressive and promote unity in relationships, men encouraged to be independent and avoid emotion


-women make demands and men withdraw


-men react with stronger physiological responses to extreme emotions than women, may find conflict more aversive


-women more likely to desire change and discuss while men withdraw


-partner who wants change will demand it

Barriers to sexual discussion

-discussion that might identify discrepant sexual desires or preferences bw partners which could threaten relationship


-beliefs that talking about sex is immoral


-related feelings of embarrassment, shame, guilt


-worries about partner responses


-assumptions that discussion is unnecessary


-beliefs that emotional intimacy leads to closeness


-lack of experience of perceived skill discussing issues and feelings of inadequacy

Observational methods

allow for more objective data collection and more depth, but may have negative effects on couples experiencing negative emotions

Self-report

suject to socially desirable responding


(impression management vs. self-deception)

Perceptual confirmation

when someone interprets event in way that is consistent with expectations

Behavioural confirmation

we are motivated to behave in ways consistent with expectations

Effective listening skills

can create greater intimacy and enhance understanding


-without receptive listener, speaker's message will be lost


-make eye contact, give feedback, support efforts, show unconditional positive regard, paraphrase

Speaking skillfully

access soft, more vulnerable emotions


-ask yes/no questions, open-ended questions, either/or questions


-self-disclose, discuss preferences, give permission


Facial expressions

-universal and innate


-can be faked to exaggerate, minimize, neutralize and mask emotions


-faked expressions differ from authentic ones and you can tell them apart (micro-expressions)

Gazing behaviour

varying direction and amount of person's eye contact


-communicates interest and affection

Gestures

vary between cultures

Interpersonal distance

1. Intimate zone (hostile or loving)


2. Personal zone


3. Social zone


4. Public zone

Gender differences in communication goals

-men want to convey info, achieve status, challenge others, prevent being pushed around; communication may become contest to give advice and solve problems


-women may want to share intimacy, promote closeness, prevent others from pushing them away, share and establish rapport and equality

Constructive complaint strategies

-focus on motivation, choose right time and place, use praise with complaints, take baby steps, express negative emotions appropriately, only express one complaint at a time


-use i language

Receiving complaints

-think before reacting


-empathize and paraphrase


-acknowledge complaint and find something to agree with


-ask questions


-express feelings


-focus on future changes

Constructive communication

1. Levelling and editing


-stating thoughts simply, clearly, and honestly


-avoid saying deliberately hurtful things


-limit comments to issue at hand


2. Validating


-indicate partner's point of view is reasonable


3. Volatile dialogue


-conflicts, arguments

Destructive communication

-criticism vs. complaining


-you language


-contempt


-defensiveness


-stonewalling


-belligerence intended to diminish or challenge partner's right to influence patterns of interactions in relationship, one partner trying to control and provoke other in negative way to assert authority

Gender

psychological experience of femaleness and maleness


-coined by John Money

SRY gene

on Y chromosome


-overrides ovary-promoting gene on X chromosome resulting in testes that secrete androgen to cause masculine body

Parental investment theory

women can only have limited children so their sexual behaviour is more conservative


men show greater interest in casual sex and fertile females


Social learning theory

sexuality is result of observational learning


-suggests female sexuality is more malleable than male

Social structural theory

gender differences in sexuality arise because of gendered division of power that emerges from workforce where men control and women are caregivers

Gender similarities hypothesis

men and women are more similar than different


-except in throwing, spatial ability, aggression and masturbation

Female arousal

-most women experience automatic genital response to sexual stimuli


-women's capacity to experience sexual arousal in response to broad range of stimuli may be explanation for higher levels of lesbians


-patterns of sexual arousal and genital response to not correspond to stated sexual attractions


-possibly because awareness of genital arousal is not significant factor for determining desire

Gender development

involves detecting gender, having gender, and doing gender


-babies can detect gender, toddlers see gender as superficial characteristic, then at 3-4 they recognize gender constancy


-monkeys make toy choices similar to human boys and girls

Gender socialization on babies

-people rated baby's responses to different toys differently based on what they thought infant's gender was


-baby clothes

Gender nonconforming children

-many gay men and women


-many lose gender dysphoria


-transmen recall being tomboys


-transwomen recall being gender atypical as child

Autogynephilia (Type 2 TS)

transwoman with gender typical childhood attracted to women


-no gender dysphoria


-feel sexual arousal from dressing in women's clothing and then from imagining self with breasts and vulva


-seek transition later in life, cross-dress in secret

Transitioning

1) Psychological and physical evaluation


-group therapy


-assessed to ensure desire has right reasons


2) Real-life experience


-fully transition to social role


3) Hormone-replacement therapy


-transmen take testosterone


-transwomen take androgen-blocking drugs and estrogen


4) Transition related surgeries


-create genitals and contour chest


5) Surgical / endocrinological / psychological follow-up

Hijras

Indian males who dress and act like women


-remove genitals and are accorded special status


-perform at ceremonies for male babies


-have men as sexual partners


-live marginalized lives with low SES, often turn to begging or prostitution

Bem sex role inventory

scores distributed along gender continuum


-psychologically androgynous if high in masculinity and femininity


-undifferentiated if low in both

Mahu

Polynesian male assigned to village that engaged in women's activities and had sex with men


-high status


-families encouraged or trained sons

Bedarche

Aboriginal male who saved basket instead of bow and arrow from burning bush


-wore special clothing, practised female occupations, engaged in relationships with men


-often shamans, chanters, dancers, mediators

M2F transsexuals (Type 1)

feminine from early childhood, believe that they are girl or want to become one


-distracted by and may conceal changes at puberty


-sexually attracted to men

Gender dysphoria

distress that may accompany incongruence between one's experienced gender and one's assigned gender

Estrogen administration

gives more hourglass figure, decrease or cessation of erection

Androgen administration

gives more facial hair and broad shoulders

Phalloplasty

skin for penis taken from arm or inner thigh, skin from clitoris grafted onto glans


contains functioning urethra, ejaculation and erection does not occur

Metoidioplasty

allows more of clitoris to pop out of hood

Vaginoplasty

clitoris constructed from top surface of penis, mucosa taken from urethra, glans inverted


vagina doesn't naturally lubricate


must use dilators to keep vaginal opening wide

Costs of transitional surgery

primary surgery procedures and then secondary procedures to improve functional and cosmetic results


-often turn to black market or private practitioners

Satisfaction after transitioning

people have reported overwhelming satisfaction


-correlated with young age at reassignment, good mental health, appropriate body build, good support and successful surgery