{"id":"W4410216834","doi":"10.1093/sxmrev/qeaf024","title":"Sexual function and dysfunction in the LGBTQIA+ community—including before and after gender-affirming surgery: recommendations from the Fifth International Consultation on Sexual Medicine (ICSM 2024)","year":2025,"lang":"en","type":"review","venue":"Sexual Medicine Reviews","topic":"LGBTQ Health, Identity, and Policy","field":"Psychology","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia","funders":"","keywords":"Transgender; Sexual function; Human sexuality; Lesbian; Clinical psychology; Psychology; Sexual medicine; Psychological intervention; Sexual dysfunction; Sexual orientation; Gender dysphoria; Asexuality; Sexual minority; Medicine; Psychiatry; Social psychology; Gender studies","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01916501,0.001209098,0.003092679,0.00700554,0.001942294,0.002719809,0.003449428,0.007276725,0.007717869],"category_scores_gemma":[0.0464855,0.0007455606,0.003955593,0.003160082,0.001925257,0.002555837,0.003726601,0.006836577,0.002490269],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.005196349,"about_ca_system_score_gemma":0.03501739,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.05528208,"about_ca_topic_score_gemma":0.07263971,"domain_scores_codex":[0.9864264,0.00618426,0.003369404,0.0004118404,0.002648802,0.0009592027],"domain_scores_gemma":[0.9612267,0.0165809,0.003732104,0.000594436,0.01457882,0.003287071],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0001267686,0.0001266108,0.003091431,0.0320507,0.0002308671,0.0003003566,0.0008305794,0.0002252572,0.0003289974,0.003012482,0.6089599,0.3507162],"study_design_scores_gemma":[0.000271643,0.0001676747,0.01780236,0.2567942,0.000769054,0.0007183407,0.002381154,0.0002828997,0.0002906996,0.004306088,0.7160396,0.0001761757],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.001471807,0.5293847,0.002273097,0.437818,0.01022832,0.001399078,0.003208428,0.0002100515,0.0140065],"genre_scores_gemma":[0.0242354,0.7896267,0.02411208,0.137584,0.005845648,0.005819011,0.005679228,0.0001352503,0.006962674],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.05528208,"threshold_uncertainty_score":0.1099206,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2539594297139704,"score_gpt":0.4669509784523771,"score_spread":0.2129915487384067,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}