A Retrospective Review of Medical Records of Laboratory-Tested Sexually Transmitted Infections of Transsexual Men from Southern Brazil

Arch Sex Behav. 2019 Jul;48(5):1573-1579. doi: 10.1007/s10508-019-1395-8. Epub 2019 Mar 1.


The present study assessed the prevalence of sexually transmitted infections (STIs) in 90 transsexual men (female-to-male transsexual persons) from southern Brazil. A retrospective review of the medical records of all transsexual men who visited an outpatient clinic in Rio Grande do Sul from 1998 to 2017 was performed. Although the sample had a high prevalence of risk factors for contracting STIs, such as drug use, one-third of the participants had never been tested for STIs and, when screened, it was mostly for HIV, but not for syphilis or other STIs. Based only on laboratory-tested transsexual men, the prevalence of syphilis and hepatitis C was 3.4% and 1.6%, respectively, which is higher than the general population. It is clear that health professionals need to broaden their understanding of transsexual men, acknowledging STIs as a possible diagnosis.

Keywords: Gender dysphoria; Sexually transmitted infections; Transgender; Transsexual men; Transsexualism; Transsexuality.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Brazil
  • Female
  • Humans
  • Male
  • Medical Records / statistics & numerical data*
  • Prevalence
  • Retrospective Studies
  • Sexually Transmitted Diseases / epidemiology*
  • Transsexualism / pathology*