Introduction: Transgender peoples general health and sexual function has previously been studied.However, holistic sexual health—physical, emotional, and relational well-being in relation tosexuality—as both a determinant for and a part of general health is an understudied field inresearch concerning health among transgender people. There is no research addressing holisticsexual health and sexual health determinants combining quantitative and qualitative data.

Aim: To explore and describe holistic sexual health and sexual health determinants amongtransgender people in Sweden.

Methods: For the purpose of this paper, descriptive statistics from a previous web-based surveywith 796 respondents and quotes from a previous qualitative interview study with 20 transgenderpeople were combined.

Results: Physical, emotional, and relational well-being are all vital aspects for experiencing holisticsexual health; that is, they are all important sexual health determinants, although of differentimportance to different individuals at different times. Satisfaction with sex life, having an ongoingsexual relationship and having been exposed to disrespectful or discriminatory care are examples ofphysical, emotional, and relational sexual health determinants that are connected to factors such ascondom use, access to respectful STI/HIV-testing and having received reimbursement for sex.Experiences of disrespect and discrimination were reported in both the qualitative and thequantitative data, and in the qualitative data a wish for equity in access to sexual health care isevident.

Conclusion: The results provide a broad and extensive insight into transgender peoples sexualhealth in Sweden. Furthermore it underlines that access to nondiscriminatory health care services isvital, including access to gender-confirming care and different sexual-health-promoting andpreventive services such as testing facilities.