Transition Guide for TS Females

America's Foremost Transgender Woman


The Sexual Orientation of Transwomen

Chapters Includes in This Section include:

Finding Love as a Transsexual Woman
Transsexual Women and Sex
Essential Considerations for Transsexual Love
Transsexual Erections Sexual Joy
Cleaning Up Your Act Before Starting on a Love Journey
Early Stage Gender Transition and Love
The Sexual Orientation of Transsexual Women
Sorting Out Your Sexual Orientation as a TS Woman
Transsexual Pregnancy
Marriage and the Transsexual Woman
The Transsexual Mother
Dating and Loving a Man - for Transsexual Women
The Secret to Finding the Perfect Man for Marriage - for TS Women
Lesbian Females with Transsexuals
Trans Lesbians: Love Between Two Transsexual Women
Transsexual Women that Love and Date Straight Females
Post Operative Transsexual Love


There has been amazingly little investigation by the medical profession in to the sexual orientation of male-to-female transsexual women.  This is very surprising given the psychological and social importance of "sex" and "sexuality", and the presumably deliberate incorporation of these in to the term "transsexual".  

Athena, an Iranian male to female transsexual
It's unclear how the crude but very real differences in the sexual priorities of men and women are reflected and adapted in transsexual and transgender women. 
A man's innate priority is to seek a sexual relationship with a physically beautiful woman as she is likely to be fertile and child bearing.  Whilst women may enjoy a short term relationship with a physically attractive man (who admittedly can pass on good genes to her child), a strongly competing priority is seeking a long term relationship with the wealthiest and most successful man that she can attract in order to ensure the highest possible standard of living (aka chance of survival) for herself and her children.  From this difference in priorities it's unsurprising that women are far more confident that they can get a date with an attractive man than men are with an attractive woman (38% vs 26% according to one study).

Sexual Orientation
Sexual orientation is a very personal feeling, the outwardly proclaimed sexuality can often differ from true private sexual attraction.  It is thus not surprising that survey's and studies differ widely in their results. 
A heavily caveat'ed baseline for this article is that about 85% of adult natal "XX" women consider themselves as being heterosexual, i.e. only sexually attracted to the opposite sex.  This is close to the 89% of men who say they are heterosexual.  However, whilst the percentage barely changes for men regardless of age, for women it increases steadily with age - from less than 80% for young women under 20, to over 90% for those aged 50+.   Further, studies assessing sexual arousement using physical criteria such as pupil dilation and genital response have found that a majority of women (but not men) are bisexual in mind, if not in practice.
A review of the very limited studies (table below) of the sexual orientation of post-Sex Reassignment Surgery (SRS) transsexual women paint a confusing picture, with heterosexuals only very slightly outnumbered by other categories.  The numbers do not align with claims that transgender women are often obsessively "female" in all aspects of their behavior, and that many transgender women are really just homosexual men - a very high heterosexual percentage would thus be expected.
joyce2 Joyce Meireles
robyn1 Robyn (right) and wife Georgiana Browning

Study Name

Sample Size

Bisexual or

Wiesbeck & Täschner, 1989 [Note 1]



Eicher, Schmitt & Bergner, 1991


26 (65%)
5 (12.5%)
8 (20%) + 1

Ross & Need, 1989



Lindemalm, Körlin & Uddenberg, 1986



Sörensen, 1981a



Pfäfflin & Junge, 1990


(13 kept SRS secret from partners)
28 (76%)
9 (24%)
5 (12%)

Wålinder & Thuwe, 1975








119 (70%)
19 (11%)
32 (19%)

Lawrence, 2005 [Note 2]


79 (34%)
58 (25%)
95 (41%)



198 (49%)
77 (19%)
127 (32%)

Notes: 1: The allocation of "1 Lesbian" and "2 Bisexual" is done by myself in order to make the totals add up. 2. Numbers are calculated by myself and could be slightly out.

The sample size is generally small and the variance between studies is substantial, making it hard to develop a "rule of thumb".  There is also a probability that the woman's true sexual preference may not be reflected in the option that she selected. 
Overall, the best that can be concluded is that about half of post-SRS women classify themselves as heterosexual and choose male partners, but also a large number either prefer female partners or are amenable to them.  As such, their sexuality profile seems to be very similar to genetically XX ciswomen.
It can get complicated, from the top: a pre-SRS woman with her legal husband; a post-SRS woman with her post-SRS FTM husband; post- and pre-SRS women;, a woman with her now post-SRS husband and their baby.
Age Seems to Matter A major weakness in the available studies is the age of the participants.  However a very inexact analysis of the available evidence would suggest that age of transition has a strong correlation to sexual orientation. 
A large proportion of MTF transsexuals who have surgery while still under age 30 categories themselves as a heterosexual woman.  Some of these are undoubtedly the rather rare "genuine transsexual", who has from an early age considered themselves to be a female and sought hormones and surgery as soon as possible.  Controversially - as discussed below - there also seems to be a substantial number of highly driven young homosexuals who decide to live as a woman as far as is possible. 
Sexual orientations tend to be far more diverse among transition'er over 30.  In practice, some of these seem to play "safe", having lesbian relationships with a former female partner or other transsexual women.  If the controversial autogynephilic theory (that some transsexuals are motivated by an erotic desire to become physically a woman) is correct, then this seems to reach a critical point only after age 30, and might have little effect on actual sexual orientation.
Based upon the limited available evidence it can be suspected:
A) The younger a woman's age at SRS, the more likely an apparent heterosexual female orientation will be, the obvious corollary being that the greater the woman's age at SRS, the more likely a lesbian or bisexual orientation is. 
B) The more "passable" a woman is (which is partly linked to her age at the time of SRS), the more likely an apparent heterosexual orientation is. 
The corollary is that young and passable MTF women are very likely to be heterosexual, older transwomen who struggle to pass are likely to be lesbian, but there are also many who fall into a broad bi-sexual middle ground .  [I welcome additional evidence to help prove or disprove this.]
Heterosexual Transwomen From consolidated sources it would seem that about half of the transwomen who were heterosexual man (i.e. were exclusively sexually attracted to women) before their SRS, become heterosexual women afterwards (i.e. exclusively attracted to men).   This is a possible corollary from the dominance of a heterosexual orientation in natal women - even if a woman is known to be a transsexual, a heterosexual inclination (i.e. a sexual preference for men) is still subconsciously expected by society and even the woman herself, and any other orientation presents problems.    
jenny6 Jennifer Hiloudaki with male friend
jacquie1 Transwoman Jacqui and husband Stephen
kathipic2 Kathi Stringer and friend
emma Emma Packer (formally Martin) with wife Linda (right)
kelly2 Six foot tall Kelly is likely to be recognized as a transsexual woman - but is still very attractive to heterosexual men. She is actually bisexual - like many transwomen.
A large study by Dr. Lawrence found that just 9% of the 232 male-to-female participants were attracted to men before their SRS, this rose to a substantial 34% after SRS, but percentages are still very low compared with other (smaller) studies.  However there may be some problems with this study which may make it difficult to generalize from - for example the age or self-selecting nature of the participants.
Post-SRS heterosexual transwomen appear to fall in to two main categories - those that were homosexual (or bisexual) men before SRS and have simply continued to select males as their sexual partners, and those that changed their sexual preference from women to men after their SRS.  
For a homosexual man, successfully appearing as a woman gives access to an almost unlimited number of male sexual partners.
It's been controversially suggested that some transsexual post-SRS heterosexual women are  homosexual men driven to have a sex change by their sexual preferences.  The theory is that as men, these individuals desire and want to love other men - especially 'straight' heterosexual men - but they can only attract and enter in to relationships with the later by becoming women.  Given legal developments over the last ten years, after surgery they have to be considered as being heterosexual women, not homosexual men.
Whilst many in the medical profession seem reluctant to accept this theory, Professor
J. Michael Bailey has been a strong advocate.  It certainly seems to be indirectly supported by the fact that many shemale prostitutes (those in Brasil being the most prominent example) revert to living as a man with a homosexual orientation when their looks fade.  It is only a small step from that to assume that a few homosexuals instead decide to have SRS, perhaps after entering a serious relation with a heterosexual man.  The theory is also perhaps supported by evidence from Iran where homosexuality is strictly banned on religious grounds, but sex change surgery is allowed and is subsidised by the state.  After surgery, the transwoman can have her birth certificate and all other official documents re-issued as 'female', and legally marry a man.  The high prevalence of transsexuality and SRS procedures in Iran - one surgeon suggested eight times greater than western countries - leads to the suspicion that many homosexuals (and lesbians) are claiming to be transsexual. 
Regardless of how correct the "some [MTF] transsexuals are homosexuals" theory is, it certainly doesn't account for all the heterosexual transwomen, and other factors must be considered.  One such factor may be hormones.  The radical hormonal changes in the body of a transwoman, to approximately female norms after orchiectomy or SRS, may well give her a push towards a heterosexual orientation.  This can happen sometimes to their own surprise - often blaming (perhaps correctly in part)
the hormones they are taking.  For example a 27-year old MTF transsexual in love with her already post-SRS transwoman partner, admitted that "I'd now categorise myself as bisexual because since taking hormones I find men attractive too." 
Non-transsexual observers seem to find that post-transition transsexual women are often more "female than [genetic] females" in their life style and social beliefs, and a few (usually those that transition in middle age) do indeed seem to be almost a living stereotype of the feminine ideal.  Some transwomen undoubtedly strongly feel that as a woman they should only want to have sexual relations with a man, and in this instance any residual sexual attraction to women rather than men becomes both unimportant and something to be suppressed.  For example, a study of the sexuality of 345 women by researchers at Essex University in the UK found that 74% of the women who identified themselves as being heterosexual were actually strongly sexually aroused when shown videos of attractive women.  Whilst no similar study has been undertaken with transsexual women, it is safe to say that heterosexual transwomen tend to be very adamant that they are only attracted to men.
Going further, for a few transsexual women (like for some genetic women), marriage and even motherhood via the adoption of children becomes their overriding goal, and perhaps an ultimate symbol and proof of their womanhood.  Indeed, the Stepford Wives may be still be alive and well - albeit as Transgender Wives.
While most heterosexual transwomen are heterosexual for reasons of choice and preference, it seems likely that in some instances the adoption of a heterosexual orientation is closely related to the transsexual woman's success in passing and assimilating herself as a woman.  Social conformance - even in the twenty-first century - encourages the successfully passing transwoman to enter in to "normal" sexual relationships with men as far as she is physically capable, while intimate relationships with other women risks "rocking the boat" and unwanted curiosity and gossip.  
Entering into a committed relationship with a man undoubtedly tends to pull a transwoman away from any open acknowledgement of her transsexuality and male past, and encourages an apparently heterosexual orientation in public - whatever her secret inclinations might still be.  As the table above shows, many heterosexual transsexual women hide their male past from partners and even their husband, feeling (unfortunately often correctly) that the relationship may not survive this becoming known to him.  Even if the partner knows about and accepts the woman's transsexuality, their friends and his family might not be so open minded, and external pressures and prejudice could eventually destroy the relationship.  When the marriage of an apparently successful transwoman with a man come under stress - as every marriage inevitably does at some point - a background awareness of the wife's former life as man often seems to be a decisive factor in the divorce. 
A very sensual and sexy transwoman, but the reality for many transsexuals over 40 is depressing - intimate relations with "normal" heterosexual man are rare.
The other side of the coin is that post-SRS heterosexual transwomen who are unable to pass well are often faced with great difficulty in attracting and having a relationship with men.  One night stands with 'normal' men often end in tears.  Brief relationships with tranny chasers may occur, but these are usually seeking pre-SRS girls and thus often disappointed.  Eventual sexual abstinence is common among those in their 30's and 40's; whilst those over age 50 may struggle to get any sexual interest from men at all.  One post-SRS transwoman in her 40's - who desperately wants a relationship with a 'straight' man but finds herself to be out'ed within minutes - despairingly says "no man wants to have sex with a transsexual when they can have a real woman".   [MTF women thinking about transition and surgery should bear this in mind] 
Finally, it should be mentioned that some transwomen consider themselves as to be heterosexual, but in practice have little interest in the actual sex.  For example, Samantha Kane (who had SRS at age 37) concluded after five boyfriends that sex as a woman was rather boring - indeed far less interesting than the preliminaries to a big night out such as a shopping trip.  There's no doubt that quite a few genetic women would agree with her!
Amanda Lepore, age 45. 
More Female than Female An emerging phenomenon is sexually active transwomen who don't hide their transsexuality, but who attract heterosexual men by being physically more "female" than most genetic females.  High profile examples include Allanah Starr, Danielle Foxx, Kimberly James and Amanda Lepore
Taking one of these - Amanda started hormones and transitioned at age 16.  She married a man a year later, and when still just 19 she had SRS - the first and most painful of her many feminization operations.  [Others include three breast augmentations, buttock implants and having her bottom ribs broken to achieve a smaller waist.]  She then left her husband to pursue a career in New York as a 'creature of the night'.  She aims for an extreme movie star look that's more female than Jean Harlow, Marilyn Monroe or even Jessica Rabbit!
kimberley Kimberley Langley legally married her lesbian partner after having sex reassignment surgery.
Lesbian Transwomen Anne Lawrence found in her survey that 54% of the participants had been predominantly attracted to women before having SRS, but only 25% still were afterwards.  When a post-SRS transwoman enters in to a lesbian relationship, the reason almost always falls in to one of three categories:

A continuing a sexual attraction to women.  If strong this leads to lesbian relationships, if weak it may lead to an avoidance of any sexual activity at all

  • Continuation of a relationship with a former wife or female partner on a sexual or non-sexual basis
  • see below]
    Sexual relationships with other transsexual women.  [
  • There is also strong evidence that a very small proportion of MTF SRS operations are performed on men who have an intense desire to have sex with women as a "lesbian".  After doing what ever is necessary to obtain SRS, these men may no longer take female hormones or live as a woman.  

    Bisexual Transwomen A relatively high percentage of transwomen seem to enter sexual relationships with both men and women.  The reasons are varied, for example: one night stands; curiosity; and social conformance (e.g. a public relationship with a man but secret lesbian relationships).  
    Mare-France is an interesting example for a sleuth.  After her transition in 1962, age 16 she soon had serious boyfriends, but also enjoyed occasional nights with other girls.  However by the late 1960's she was apparently only interested in relationships with men."  To what extent that was due to hormones, surgery or a change in sexual preferences is impossible to determine without her input.
    Whether To Be Open A huge problem that faces all transwomen is whether to tell a potential sexual partner that they are transgender.  Most start off doing so, but the brutal reality is that reactions are predominately negative - sometimes aggressively so. 
    marie50 Marie-France kristen-mary Transcouple Kristen (left) and Mary
    nastasha1 Transcouple Revana (left) and Natasha
    claire Transwoman Clair Farley and her FTM fiancée (now husband) Jim Howley
    Even if a heterosexual man seems to take the news well, the likelihood is that he never be seen again.  As one very sexually active post-op transwomen put it: "Why would a normal man want to fuck me [if I told him I was transsexual] rather than a natural woman".  The situation is rarely better if seeking a lesbian relationship.
    Bitter experience soon makes many transwomen reluctant to confess to someone they fancy that they are transgender, but this leads to new problems.  For a pre-op transwoman, even a pleasant kiss and cuddle can soon become dangerous as his/her hands wonder, and they start to look for more.  Post-op transwomen face less danger from a groping hand, but a majority still face the debate of whether to confess about their past before their partner's increasing suspicion leads to a confrontation, potentially violent.  For the lucky minority that are totally passable, the road may still eventually lead to very difficult questions being posed by a besotted partner, e.g. a marriage proposal and discussions about having children.
    Straighter than Ciswomen? A study of the sexuality of 345 women by researchers at Essex University in the UK found that 74% of the women who identified themselves as being heterosexual were actually strongly sexually aroused when shown videos of attractive women.  Heterosexual transwomen tend to be very adamant that they are only attracted to men; it would be interesting to conduct a similar survey with them.
    Non-Sexual Transwomen From non-scientifically obtained evidence, around 15% of all post-SRS women never have an intimate sexual relationship since their surgery.  Non-sexuality can be caused by one or more of:

    A genuine lack of sexual urges - by far the most common cause

  • Poor surgical results - for example lack of vaginal depth, poor appearance of the vulva, or intercourse is painful

  • Failure to attract desirable partners, for example due to age or an inability to pass convincingly

  • A conscious suppression of inconvenient or undesired sexual urges, e.g. due to having AIDS or fear of possible discovery during intercourse

  • Participation in a relationship in which the other partner doesn't want to engage in sexual relations.
    Transcouples It is not unusual for a transsexual woman to enter in to a relationship with another transsexual, usually another male-to-female MTF) woman but occasionally a female-to-male (FTM) man.  When a MTF woman enters in to a relationship with a FTM man, generally both partners are insistent that it is a conventional, heterosexual relationship.
    An important benefit of a relationship with an another transsexual is that the partners can share their experiences, and provide mutual support and understanding - something which a relationship with a non-transsexual person cannot provide to the same extent.  Also, transcouples do not need to face the risks and worries of going stealth to establish and maintain the relationship with their partner.
    A significant proportion of transsexual women admit to being attracted to other transsexual women, indeed one small
    survey found that half of the respondents were strongly attracted to other transsexual women.  Naturally this attraction often leads to relationships, both of a "one night stand" and of a more permanent nature.  Sexually, these are technically lesbian relationships, but interestingly the partners are frequently not attracted to non-transsexual genetic women.
    A staged but effective picture of a young and petite transwoman in a locker room
    Young Transsexuals
    Unlike older transsexuals, the sexual orientation of young transsexual women (meaning those who transition and start treatment before age 20) is rarely in doubt, they are usually as fervently interested in boys as any teenage girl! 
    'A' who had SRS at 17 says: "I just love sex, since the operation I crave it all the time.  I'm just a woman with needs!"
    'T' who transitioned in her teens and had SRS at age 17 says: "I'm all woman and enjoyed being with [her partner] because he's all man.  I'm more feminine than most women I know.  The fact I was born a man is just an inconvenient technicality."
    Tamalah, who transitioned at age 18, says "I knew from as early as I can remember that I was a girl.  I didn't consider myself gay, I considered myself a heterosexual female."  Both before and after the surgery, she presented herself as a woman and was often asked out by men. "I figured what they didn't know wouldn't hurt them, as long as I didn't sleep with them."
    An extraordinary development in recent years is the pressure often exerted on 'gay' boys to admit to being transgender than homosexual!  Reality television is probably a big driver in this regard. 
    One example is Claudia.  Age 18 she began to occasionally dress as a woman when going out.  She met 'Martin' ("a cross between Jesus and George Best") and soon moved in with him.  Martin wouldn't admit that he was gay and Claudia soon felt pressurized in to transitioning full time, taking hormones and eventually getting surgery. 
    Claudia said: "Martin slept with women the whole time I was with him, and would say, 'If you were a girl, this wouldn't be happening,' and of course I believed him."  Claudia finally had SRS surgery, age 28.  A year Martin left Claudia.  She now regrets having SRS but continues to live her life as woman.
    In a similar early experience, Maxine notes "At age 14 I experienced my 'first time' while on holiday ... [he was] six-foot-tall, wash board belly, unbelievably sexy.  He chatted me up on the beach and we went to his hotel room.  He slowly undressed me.  It was beautiful.  There was nothing I wanted more that night than to be a whole woman."
    To please her boyfriend, Maxine began taking female hormones and had breast implants at age 17. 
    A few years later Maxine had a relationship with a strongly heterosexual man: "Omar was a beautiful man but everything had to remain secret.  The first time was very sensitive - however he missed me not having a bosom.  He got a terrible complex, ... deep down he believed that I was really another man.  I wanted to be the perfect partner for Omar, and dreamt of us having a family.  I longed to be a woman, and as I fell in love with him I resolved that it was Maxine or nothing."  Omar soon moved on, but Maxine had made her decision and had SRS three years later.
    Like Tamalah and Maxine, many young transsexuals enter in to an intimate relationship as a girl with a heterosexual man long before undergoing any surgery. 
    Whether the man is understanding or not, clearly the situation is extremely unsatisfactory.  The girls desire to normalize her body and have vaginal intercourse often becomes a key driver for her seeking surgery as soon as possible.  Waiting to her 18th birthday before having sex-reassignment surgery - as is required by the Harry Benjamin International Gender Dysphoria Association Standard Of Care that most doctors and surgeons conform to - can be a bitter and sexually very frustrating test of endurance.
    A male face - the left version is feminised and the right version masculinised.
    It's the Hormones... Research has found that genetic women who are at the most fertile part of their menstrual cycle (i.e. have high estrogen levels) tend to be particularly attracted to men with strong masculine features (big muscles, square jaws, prominent brow...) which indicate high levels of the male sex hormone testosterone.  Those women who are in the low fertility part of their cycle prefer less masculine but often more sensitive and caring men - who tend to invest more in relationships and are more likely to make a sensible long-term mate.
    Taking of birth control pill upsets this cycle and women on the pill (with raised estrogen levels) tend to generally favor the more masculine face all the time.  There's an implication that the high estrogen levels of a transwoman on female hormones may also tug her sexual attraction towards a male partner. 
    Additionally, pregnant woman apparently prefer glowing, healthy looking faces in their sexual partner - this appears to be caused by their raised levels of progesterone - which many transsexual women take in relatively high doses.

    Copyright (c) 2006, Annie Richards