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Agenor, M., Zubizarreta, D., Geffen, S., Ramanayake, N., Giraldo, S., McGuirk, A., Caballero, M., & Bond, K. (2022). “Making a way out of no way:” Understanding the sexual and reproductive health care experiences of transmasculine young adults of color in the United States. Qualitative Health Research, 32(1), 121–134. https://doi.org/10.1177/10497323211050051

American Heart Association. (2023). How high blood pressure can affect your sex life. https://www.heart.org/en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-affect-your-sex-life

American Nurses Association. (2022, October 26). American Nurses Association opposes restrictions on Transgender healthcare and criminalizing gender-affirming care. https://www.nursingworld.org/news/news-releases/2022-news-releases/american-nurses-association-opposes-restrictions-on-transgender-healthcare-and-criminalizing-gender-affirming-care/

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed.) [Text Revision]. American Psychiatric Association Publishing.

Annon, J. (1976). The PLISSIT model: A proposed conceptual scheme for the behavioural treatment of sexual problems. Journal of Sex Education and Therapy, 2(1), 1–15.

Bell, S. (2020). Evidence-based practice competencies for RNs and APNs: How are we doing? Neonatal Network, 39(5), 299–302. https://doi.org/10.1891/0730-0832.39.5.299.

Busby, D. M., Leonhardt, N. D., Leavitt, C. E., & Hanna-Walker, V. (2020). Challenging the standard model of sexual response: Evidence of a variable male sexual response cycle. The Journal of Sex Research, 57(7), 848–859. https://doi.org/10.1080/00224499.2019.1705960

Buyuk, A., Cetin, S. Y., & Sakinci, M. (2021). The effects of pelvic floor muscle training and behavioral training on sexual dysfunction, incontinency, physical activity level and quality of life in the elderly. Sexuality and Disability, 39, 555–568. https://doi.org/10.1007/s11195-021-09684-1

Campinha-Bacote, J. (2007). Becoming culturally competent in ethnic psychopharmacology. Journal of Psychosocial Nursing and Mental Health Services, 45(9), 26–33. https://doi.org/10.3928/02793695-20070901-09

Campinha-Bacote, J. (2011). Coming to know cultural competence: An evolutionary process. International Journal for Human Caring, 15(3), 42–48.

Cappiello, J. D., & Boardman, M. B. (2022). Did I learn enough to practice? Reflections of new nurse practitioner graduates in providing sexual and reproductive health care. Journal of the American Association of Nurse Practitioners, 34(1), 109–118. https://doi.org/10.1097/JXX.0000000000000552

Castellini, G., Rellini, A., Appignanesi, C., Pinucci, I., Fattorini, M., Grano, E., Fisher, A. D., Cassioli, E., Lelli, L., Maggi, M., & Ricca, V. (2018). Deviancy or normalcy? The relationship among paraphilic thoughts and behaviors, hypersexuality, and psychopathology in a sample of university students. The Journal of Sexual Medicine, 15, 1322–1335. https://doi.org/10.1016/j.jsxm.2018.07.015

Cicero, E. C., & Wesp, L. M. (2017). Supporting the health and well-being of Transgender students. The Journal of School Nursing, 33(2), 95–108. https://doi.org/10.1177/1059840516689705

Cicero, E. C., Reisner, S. L., Merwin, E., Humphreys, J. C., & Silva, S. G. (2020). The health status of Transgender and gender nonbinary adults in the United States. PLOS One, 15(2), e0228765. https://doi.org/10.1371/journal.pone.0228765

Clark, B. A., Veale, J. F., Townsend, M., Frohard-Dourlent, H., & Saewyc, E. (2018). Non-binary youth: Access to gender-affirming primary health care. International Journal of Transgenderism, 19(2), 158–169. https://doi.org/10.1080/15532739.2017.1394954

Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., de Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A. B., Johnson, T. W., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Meyer-Bahlburg, H. F. L., Monstrey, S. J., Motmans, J., Nahata, L., . . . Arcelus, J. (2022). Standards of care for the health of Transgender and gender diverse people, version 8. World Professional Association for Transgender Health, 23(S1), S1–S258. https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644

Crooks, R. L., & Baur, K. (2017). Our sexuality (13th ed.). Cengage Learning.

Diemer, E. W., Grant, J. D., Munn-Chernoff, M. A., Patterson, D. A., & Duncan, A. E. (2015). Gender identity, sexual orientation, and eating-related pathology in a national sample of college students. Journal of Adolescent Health, 57, 144–149. http://dx.doi.org/10.1016/j.jadohealth.2015.03.003

Edwards-Leeper, L., Leibowitz, S., & Sangganjanavanich, V. F. (2016). Affirmative practice with Transgender and gender nonconforming youth: Expanding the model. Psychology of Sexual Orientation and Gender Diversity, 3, 165–172. http://dx.doi.org/10.1037/sgd0000167

Feng, T., Heulitt, G., Lee, L. J., Liao, M., Li, H.-F., Porter, J. R. (2020). Randomised comparison of techniques for control of the dorsal venous complex during robot-assisted laparoscopic radical prostatectomy. BJU International, 126(5), 586–594. https://doi.org/10.1111/bju.15133

Friedman, S. (2019). Assessing and treating sexual dysfunctions in Orthodox Jewish couples: A summary of 41 consecutive cases. Mental Health, Religion & Culture, 22(9), 930–942. https://doi.org/10.1080/13674676.2019.1688269

Galanakis, M., Kallianta, M., Katsira, C., Liakopoulou, D., Chrousos, P., & Darviri, C. (2015). The association between stress and sexual dysfunctionality in men and women: A systematic review. Psychology, 6, 1888–1892. https://dx.doi.org/10.4236/psych.2015.614186

Gerritse, K., Hartman, L., Antonides, M. F., Wensing-Kruger, A., de Vries, A. L. C., & Molewijk, B. C. (2018). Moral challenges in Transgender care: A thematic analysis based on focused ethnography. Archives of Sexual Behavior, 47, 2319–2333. https://doi.org/10.1007/s10508-018-1287-3

Gerritse, K., Martens, C., Bremmer, M. A., Kreukels, B. P. C., DeBoer, F., & Molewijk, B. C. (2022). Sharing decisions and uncertainties: A qualitative interview study of healthcare professionals’ ethical challenges and norms regarding decision-making in gender-affirming medical care. BMC Medical Ethics, 23, 139. https://doi.org/10.1186/s12910-022-00880-y

Gewirtz-Meydan, A., & Ofir-Lavee, S. (2021). Addressing sexual dysfunction after childhood sexual abuse: A clinical approach from an attachment perspective. Journal of Sex & Marital Therapy, 47(1), 43–59. https://doi.org/10.1080/0092623X.2020.1801543

Ghadigaonkar, D. S., & Murthy, P. (2019). Sexual dysfunction in persons with substance use disorders. Journal of Psychosexual Health, 1(2), 117–121. https://doi.org/10.1177/2631831819849365

Hamilton, L. D., & Meston, C. M. (2013). Chronic stress and sexual function in women. Journal of Sexual Medicine, 10(10), 2443–2454. https://doi.org/10.1111/jsm.12249

Harter, S. (2015). The construction of the self: Developmental and sociocultural foundations. The Guilford Press.

Hembree, W. C., Cohen-Kettenis, P., Gooren, L., Hannema, S. E., Meyer, W. J., Murad, M. H., Rosenthal, S. M., Safer, J. D., Tangpricha, V., & T’Sjoen, G. G. (2017). Endocrine treatment of gender-dysphoric/gender-incongruent persons: An Endocrine Society* Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism, 102, 3869–3903, https://doi.org/10.1210/jc.2017-01658

Hortal-Mas, R., Moreno-Poyato, A. R., Granel-Giménez, N., Roviralta-Vilella, M., Watson-Badia, C., Goméz-Ibáñez, R., Aguayo-González, M. P., Giménez-Diez, D., Bernabeu-Tamayo, M. D., & Leyva-Moral, J. M. (2020). Sexuality in people living with a serious mental illness: A meta-synthesis of qualitative evidence. Journal of Psychiatric Mental Health Nursing, 29, 130–146. https://doi.org/10.1111/jpm.12700

Jadoon, S. B., Nasir, S., Victor, G., & Pienaar, A. J. (2022). Knowledge, attitudes and readiness of nursing students in assessing peoples’ sexual health problems. Nurse Education Today, 113, 105371. https://doi.org/10.1016/j.nedt.2022.105371

Johns, M. A., Lowry, R., Andrzejewski, J., Barrios, L. D., Demissie, Z., McManus, T., Rasberry, C. N., Robin, L., & Underwood, J. M. (2019). Transgender identity and experiences of violence victimization, substance use, suicide risk, and sexual risk behaviors among high school students—19 states and large urban school districts, 2017. Morbidity and Mortality Weekly Reports, 68, 67–71. https://www.cdc.gov/mmwr/volumes/68/wr/mm6803a3.htm

Kaplan-Marans, E., Sandozi, A., Martinez, M., Lee, J., Schulman, A., & Khurgin, J. (2022). Medications most commonly associated with erectile dysfunction: Evaluation of the Food and Drug Administration National Pharmacovigilance Database. Sexual Medicine, 10(5), 100543. https://doi.org/10.1016/j.esxm.2022.100543

Kilchevsky, A., Vardi, Y., Lowenstein, L., & Gruenwald, I. (2012). Is the female G-spot truly a distinct anatomic entity? Journal of Sex Medicine, 9, 719–726. https://doi.org/10.1111/j.1743-6109.2011.02623.x

Kilicaslan, J., & Pitrakis, M. (2019). Heteronormative models of health-care delivery: Investigating staff knowledge and confidence to meet the needs of LGBTIQ+ people. Social Work in Health Care, 58, 612–632. https://doi.org/10.1080/00981389.2019.1601651

Kudesia, R., Alexander, M., Gulati, M., Kennard, A., & Tollefson, M. (2021, May 8). Dietary approaches to women’s sexual and reproductive health. American Journal of Lifestyle Medicine, 15(4), 414–424. https://doi.org/10.1177/15598276211007113

Leavitt, C. E., Leonhardt, N. D., & Busby, D. M. (2019). Different ways to get there: Evidence of a variable female sexual response cycle. The Journal of Sex Research, 56(7), 899–912. https://doi.org/10.1080/00224499.2019.1616278

Lee, J. W., Kim, H. J., Choe, Y. M., Kang, H. S., Kim, S. I., Jun, Y. H., & Lee, J. E. (2014). Significant adverse reactions to long-acting gonadotropin-releasing hormone agonists for the treatment of central precocious puberty and early onset puberty. Annual Pediatric Endocrinology and Metabolism, 19, 135–140. https://doi.org/10.6065/apem.2014.19.3.135

Lowry, R., Johns, M. M., Gordon, A. R., Austin, B., Robin, L. E., & Kann, L. K. (2018). Nonconforming gender expression and associated mental distress and substance use among high school students. JAMA Pediatrics, 172, 1020–1028. https://doi.org/10.1001/jamapediatrics.2018.2140

Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Little, Brown and Company.

Masters, W. H., Johnson, V. E., & Kolodny, R. C. (1988). Masters and Johnson on sex and human loving. Little, Brown and Company.

McCabe, M. P., & Connaughton, C. (2017). Sexual dysfunction and relationship stress: How does this association vary for men and women? Current Opinion in Psychology, 13, 81–84. http://dx.doi.org/10.1016/j.copsyc.2016.05.007

McCann, E., & Sharek, D. (2016). Mental health needs of people who identify as Transgender: A review of the literature. Archives of Psychiatric Nursing, 30, 280–285. http://dx.doi.org/10.1016/j.apnu.2015.07.003

Mitchell, K. R., Lewis, R., O’Sullivan, L. F., & Fortenberry, J. D. (2021). What is sexual wellbeing and why does it matter for public health? The Lancet Viewpoint, 6(8), E608–E613. https://doi.org/10.1016/S2468-2667(21)00099-2

Morin, M., Dumoulin, C., Bergeron, S., Mayrand, M-H., Khalifé, S., Waddell, G., Dubois, M-F., & PVD Study Group. (2021). Multimodal physical therapy versus topical lidocaine for provoked vestibulodynia: A multicenter, randomized trial. American Journal of Obstetricians and Gynecologists, 224(2), 189. E1-189.e12. https://doi.org/10.1016/j.ajog.2020.08.038

Mwendwa, P., Mutea, N., Kaimuri, M. J., De Brún, A., Kroll, T. (2020). “Promote locally led initiatives to fight female genital mutilation/cutting (FGM/C)” lessons from anti-FGM/C advocates in rural Kenya. Reproductive Health, 17(1), 30. https://doi.org/10.1186/s12978-020-0884-5

Olson, J., Schrager, S. M., Belzer, M., Simons, L. K., & Clark, L. F. (2015). Baseline physiologic and psychosocial characteristics of Transgender youth seeking care for gender dysphoria. Journal of Adolescent Health, 57, 374–380. http://dx.doi.org/10.1016/j.jadohealth.2015.04.027

Pang, N. T. P., Masiran, R., & Alimuddin, A. S. (2023). Paraphilia without symptoms of primary psychiatric disorder: A case report. Journal of Medical Case Reports, 17, 46. https://doi.org/10.1186/s13256-023-03774-8

Puckett, J. A., Cleary, P., Rossman, K., Mustanski, B., & Newcomb, M. E. (2018). Barriers to gender-affirming care for Transgender and gender nonconforming individuals. Sex Research and Social Policy, 15, 48–59. https://doi.org/10.1007/s13178-017-0295-8

Quinn, C., & Happell, B. (2011). Getting BETTER: Breaking the ice and warming to the inclusion of sexuality in mental health nursing care. International Journal of Mental Health Nursing, 21, 154–162. https://doi.org/10.1111/j.1447-0349.2011.00783.x

Quinn, C., & Happell, B. (2013). Talking about sexuality with consumers of mental health services. Perspectives in Psychiatric Care, 49, 13–20. https://doi.org/10.1111/j.1744-6163.2012.00334.x

Reichmann, G., Parlier-Ahmad, A. B., Beck, L., Thakkar, B., Alappattu, M., Boissoneault, J., & Martin, C. E. (2022). Chronic pelvic pain and sexual dysfunction among females and males receiving treatment for opioid use disorder. Frontiers in Pain Research, 2, 787559. https://doi.org/10.3389/fpain.2021.787559

Reisner, S. L., Vetters, R., Leclerc, M., Zaslow, S., Wolfrum, S., Shumer, D., & Mimiaga, M. J. (2015). Mental health of Transgender youth in care at an adolescent community health center: A matched retrospective cohort study. Journal of Adolescent Health, 56, 274–279. https://dx.doi.org/10.1016/j.jadohealth.2014.10.264

Rew, L., Young, C., Monge, M., & Bogucka, R. (2021). Puberty blockers for Transgender and gender diverse youth: A critical review of the literature. Child & Adolescent Mental Health, 26(1), 3–14. https://dx.doi.org/10.1111/camh.12437

Sathyanarayana Rao, T. S., Maheshwari, S., George, M., Chandran, S., Manohar, S., & Rao, S. S. (2018, February). Psychosocial interventions for sexual dysfunction in addictive disorders. Indian Journal of Psychiatry, 60(Suppl 4), S506–S509. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_37_18

Savoie, V., Quayle, E., & Flynn, E. (2021). Prevalence and correlates of individuals with sexual interest in children: A systematic review. Child Abuse and Neglect, 115, 105005. https://doi.org/10.1016/j.chiabu.2021.105005

Schmitz, R. M., & Tyler, K. A. (2018). The complexity of family reactions to identity among homeless and college lesbian, gay, bisexual, Transgender, and queer young adults. Archives of Sex Behavior, 47, 1195–1207. https://doi.org/10.1007/s10508-017-1014-5

Serin, E. K., Dal, N. A., & Öner, Ö. I. (2020). The communication skills and empathic tendencies of nursing and midwifery students to reproductive pattern section of the care plan. Sexuality and Disability, 38, 161–171. https://doi.org/10.1007/s11195-019-09587-2

Sutter, M., & Perrin, P. B. (2016). Discrimination, mental health, and suicidal ideation among LGBTQ people of color. Journal of Counseling Psychology, 63(1), 98–105. https://dx.doi.org/10.1037/cou0000

Taylor, B., & Davis, S. (2007). The extended PLISSIT model for addressing the sexual wellbeing of individuals with an acquired disability or chronic illness. Sex and Disability, 25, 135–139. https://doi.org/10.1007/s11195-007-9044-x

Testa, R. J., Coolhart, D., & Peta, J. (2015). Gender quest workbook: A guide for teens & young adults exploring gender identity. New Harbinger Publications, Inc.

U.S. Department of Health and Human Services. (n.d.) LGBT. https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbt

Vieira-Baptista, P., Lima-Silva, J., Preti, M., Xavier, J., Vendeira, P., & Stockdale, C. K. (2021). G-spot: Fact or fiction?: A systematic review. Sexual Medicine, 9, 100435. https://doi.org/10.1016/j.esxm.2021.100435

Williams, M., & Addis, G. (2021). Addressing patient sexuality issues in cancer and palliative care. British Journal of Nursing, 30(10, Oncology Supplement), S24–328.

Wincze, J. P., & Weisberg, R. B. (2015). Sexual dysfunction: A guide for assessment and treatment (3rd ed.). Guilford.

World Association for Sexual Health. (2021). WAS statement concerning actions to support gender diversity worldwide. https://worldsexualhealth.net/wp-content/uploads/2022/03/august10_2021.pdf

World Health Organization. (2024a). Female genital mutilation. https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation

World Health Organization. (2024b). Gender and health. https://www.who.int/health-topics/gender#tab=tab_1

World Health Organization. (2024c). Sexual health. https://www.who.int/health-topics/sexual-health#tab=tab_3

Yakeley, J., & Wood, H. (2014). Paraphilias and paraphilic disorders: Diagnosis, assessment and management. Advances in Psychiatric Treatment, 20, 202–213. https://doi.org/10.1192/apt.bp.113.011197

Zou, Y., Szczesniak, R., Teeters, A., Conard, L. A. E., & Grosssoehme, D. H. (2018). Documenting an epidemic of suffering: Low health-related quality of life among Transgender youth. Quality of Life Research, 27, 2107–2115. https://doi.org/10.1007/s11136-018-1839-y

Zucker, K. J., Bradley, S. J., Owen-Anderson, A., Kibblewhite, S. J., Wood, H., Singh, D., & Choi, K. (2012). Demographics, behavior problems, and psychosexual characteristics of adolescents with gender identity disorder or transvestic fetishism. Journal of Sex & Marital Therapy, 38, 151–189. https://doi.org/10.1080/0092623X.2011.611219

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