Preference for Masculine or Feminine Gender Roles and Its Relationship to Well-Being in Transgender Persons: Comparing Pre-Treatment, Hormonal Therapy, and Post-Surgery Groups

This article aims at identifying different preferences for gender roles in transgender persons and the associations of those preferences with well-being at the different stages of medical transition. A total of 148 Russian transgender subjects (64 in pre-treatment, 41 in hormonal therapy, and 43 in hormonal therapy after some surgery) and 120 Russian cisgender persons filled out the Minnesota Multiphasic Personality Inventory-2. The transgender participants were less satisfied with their lives than the cisgender individuals, and less frequently preferred masculine gender roles, which were related to higher well-being in both groups. However, both preference for masculine gender roles and well-being were higher in the hormonal therapy group, and especially after surgery, regardless of whether they were females transitioning into males or vice versa. In the transwomen, having only hormonal therapy was associated with the poorest satisfaction, while those undergoing hormonal therapy after surgery were much more satisfied with their lives. Those differences are reasonable, considering the visible changes in the body and mood after hormonal therapy in transmen, and because results after surgery are more promising for transwomen than for transmen.