Pelvic Floor Dysfunction in Transgender Men on Gender-affirming Hormone Therapy: A Descriptive Cross-sectional Study.

INTRODUCTION AND HYPOTHESIS: The objective of this research is to explore the effects of hormone therapy using testosterone on pelvic floor dysfunction (PFD) in transgender men. We hypothesize that PFD might be prevalent among transgender men undergoing hormone therapy. Therefore, this study was aimed at verifying the frequency of these dysfunctions. METHODS: A cross-sectional study was conducted between September 2022 and March 2023 using an online questionnaire, which included transgender men over 18 years old who underwent gender-affirming hormone therapy. Volunteers with neurological disease, previous urogynecology surgery, active urinary tract infection, and individuals without access to the internet were excluded. The questionnaire employed validated tools to assess urinary symptoms, such as urinary incontinence (UI), as well as sexual dysfunction, anorectal symptoms, and constipation. The data were analyzed descriptively and presented as frequencies and prevalence ratios with their respective confidence intervals (95% CI), mean, and standard deviation. RESULTS: A total of 68 transgender men were included. Most participants had storage symptoms (69.1%), sexual dysfunction (52.9%), anorectal symptoms (45.6%), and flatal incontinence (39.7%). Participants with UI symptoms reported moderate severity of the condition. CONCLUSIONS: Transgender men on hormone therapy have a high incidence of PFD (94.1%) and experience a greater occurrence of urinary symptoms (86.7%).

Place Identity, Participation, and Emotional Climate in a Rural Community From the Northern Coast of Peru.

Currently, in rural communities from the Peruvian northern coast, it is common to find a climate of distrust and pessimism that accompanies the lack of coordinated social action and community participation among residents. This study analyzes the relationships that people develop with regard to the place where they live in, how it associates to the ways they participate in their community and the relationship that these two variables have with the perceived emotional climate, in a rural community from the northern coast of Peru (n = 81). Results indicate that place identity is significantly associated with a high community participation and a climate of trust in the community. Finally, a Path Analysis is performed to analyze comprehensively the relationship between these variables. The results suggest that place identity does have an influence on perceived positive climate in the community, being mediated by the dimensions of community participation.