Despite the population of transgender individuals in the United States doubling

from 2011 to 2016, this population is one of the most understudied in psychological

science. Of the available research, the associations between gender congruence, defined

as an individual’s body matching their gender identity, and well-being have been

examined, particularly demonstrating positive associations between gender congruence

and overall life satisfaction. However, there remains a dearth of research on the possible

associations between gender congruence and relational well-being - particularly sexual

satisfaction - and possible moderating effects of the internal negative feelings regarding

one’s identity (internalized transphobia). To address these gaps in the literature, this study

gathered data from 165 binary transgender men. While there was not an effect of gender

congruence on sexual satisfaction, internalized transphobia was found to moderate this

association such that individuals who reported high internalized transphobia and high

gender congruence reported the highest sexual satisfaction. Results of this study highlight

the existing literature on the negative associations between internalized transphobia and

well-being for transgender individuals. Implications for counselors are discussed,

including advocacy efforts and implementation of techniques to facilitate growth and

resilience to help transgender clients navigate the negative effects of internalized

transphobia.