ABSTRACT

The study reported in this paper explores the experiences of 95 people with intersex variations constituting an international English-speaking sample who completed a mixed methods survey comprised of questions designed by the authors to explore 1) genital variations and medical interventions (and pressures to undertake them), 2) experiences with sex education, and 3) experience of physical intimacy, including use of safer sex devices and sexually transmitted infections. Surgeries on minors were common and typically not consensual, often resulting in the need for revisions. Pressures for surgeries most commonly were made by doctors. Experiences of sex education often failed to be inclusive of intersex bodies, with information about menstruation and hygiene rarely provided, and many participants having to learn on their own. Participants had a diversity of experiences of physical intimacy beyond penetration. For those who had experienced penetration, vaginal intercourse was enjoyable for some, but many found it painful. Conversely, anal intercourse was enjoyed by many and rarely found to be painful. The paper concludes by highlighting the importance of an intersex-specific approach to sexual health for this population.

摘要

本文报告的研究探讨了 95 名具有双性变异的人的经历，这些人构成了国际英语样本，他们完成了一项混合方法调查，该调查由作者设计的问题组成，旨在探讨 1) 生殖器变异和医疗干预措施（以及采取这些措施的压力） )，2) 性教育经历，以及 3) 身体亲密经历，包括使用安全性器具和性传播感染。对未成年人进行手术很常见，而且通常未经双方同意，往往需要进行翻修。手术压力最常见的是由医生施加的。性教育的经验往往未能涵盖双性人的身体，很少提供有关月经和卫生的信息，许多参与者不得不自学。参与者拥有多种超越渗透的身体亲密体验。对于那些经历过插入的人来说，阴道性交对一些人来说是愉快的，但许多人却觉得很痛苦。相反，许多人都喜欢肛交，而且很少感到疼痛。该论文最后强调了针对双性人的性健康方法对该人群的重要性。