XVII Harry Benjamin International Gender Dysphoria Association Symposium
31 October - 4 November 2001, Galveston, Texas, U.S.A.

Sexual Orientation of MtF Transgendered People in Transition

SAMONS, SANDRA L. U.S.A.
E-mail: homsted@aol.com

This report is based on information drawn from the private clinical records of 97 MtF transgendered people. Patterns of client self-identified sexual attractions were examined over time as these clients became more comfortable with a female gender identity. The intent was to verify preliminary observations suggesting that, in a significant number of these individuals, sexual orientation shifts with the change in gender role during transition. Although this information is based on a narrow client self-selected sample, the results suggest that a significant number of these subjects did experience a shift in sexual orientation as transition in gender role progressed. This change may represent the uncovering of a pre-existing sexual orientation that was hidden under layers of defenses until lifted in the course of therapy. It is possible that these changes could also be attributable to other factors, such as biological influences that are not yet well understood. This should be taken into account by therapists as they try to help their transgendered clients. These questions are exceedingly important because they speak to the larger question of whether sexual orientation is subject to modification or outright change, and if so, under what circumstances. This is a hotly debated question in many circles, especially as relates to the cause(s) and malleability of homosexuality. It is critically important that the information presented here is not misconstrued or inappropriately used to support an argument that homosexuality can be "cured." We are not addressing the question of whether or not it would be preferable to eliminate sexual diversity if we had the power to do. In the name of science, we need to have reliable information based on sound research relating to the human brain, human genes, prenatal development, and the influence of hormones on the body at various points in time. We need a better understanding of the subtle interplay among one’s arousal template, sexual orientation, gender identity and gender role. Until we have this insight, and until the environment in which we are socialized becomes more neutral, we should remain humble, reserving judgment and operating under the edict of "Do no harm."