Gender-affirming care directly improves quality of life among transgender men by increasing their satisfaction with their bodies, a new study has proven.
The report, "Understanding the Role of Gender Congruence and Affirming Care in Trans Men's Body Image and Quality of Life" published in the International Journal of Transgender Health, surveyed 166 trans men, measuring their physiological, psychological, social, and environmental quality of life.
"Most research involving TGD [trans and gender diverse] populations has focused on clinical mental health outcomes such as suicidality," the report states. "While such outcomes are crucial to explore, it is equally important to examine the broader well-being of TGD people, including factors that contribute to their overall quality of life (QoL)."
The report found that improving trans men’s gender congruence — the sense of alignment between one’s gender identity, body, and others' perceptions of them — "can have cascading benefits for other dimensions of well-being, including body satisfaction and [quality of life], by reducing dysphoria and promoting a more cohesive sense of self." The report concluded that gender congruence can be improved through gender-affirming care.
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Gender-affirming care encompasses several forms of therapies that are meant to validate a person's gender identity, including talk therapy, hormone therapy, or surgical procedures. The report found that chest surgery was "associated with improved physiological, psychological, and environmental QoL," while hormone replacement therapy "improved psychological and environmental QoL."
The report noted that while "gender-affirming care may not directly alter how individuals perceive their bodies," it instead "fosters a sense of alignment between physical appearance and gender identity, a key driver of body satisfaction."
"Our results highlight that fostering positive gender congruence, which enhances body satisfaction, significantly improves physical and psychological functioning," it concluded. "This finding underscores the critical role of addressing body satisfaction within gender-affirming care."