Even if a woman is known as being a
transsexual, a heterosexual inclination is generally expected by society, and
other orientation may present problems.
Grossly simplifying things,
transsexual women often seem to adopt one of two "safe" options -
heterosexual relationships with men, or lesbian relationships with a former
female partner or other transsexual women. Her own true sexual
preferences may, or may not, play a role in the option selected.
Apparently about 95% of natal
"XX" women consider themselves as being heterosexual. In
comparison, studies of the sexual orientation of
post-SRS transsexual women indicate a rather different picture:
| Study Name | Sample Size | Hetero- sexual | Lesbian | Bisexual or Nonsexual |
| Wiesbeck & Täschner, 1989 [Note 1] | 10 | 7 | 1? | 2? |
| Eicher, Schmitt & Bergner, 1991 | 40 | 26 (65%) | 5 (12.5%) | 8 (20%) + 1 |
| Ross & Need, 1989 | 14 | 12 | 0 | 2 |
| Lindemalm, Körlin & Uddenberg, 1986 | 13 | 9 | 1 | 3 |
| Sörensen, 1981a | 23 | 17 (10 kept SRS secret from partners | 0 | 6 |
| Pfäfflin & Junge, 1990 | 42 (13 kept SRS secret from partners) | 28 (76%) | 9 (24%) | 5 (12%) |
| Wålinder & Thuwe, 1975 | 11 | 11 | 0 | 0 |
| Schroder | 17 | 9 | 3 | 5 |
| TOTAL | 170 | 119 (70%) | 19 (11%) | 32 (19%) |
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