Despite recurring calls for diversity and inclusion in adolescent sexuality research, our understanding of adolescents’ sexual experiences beyond heteronormative vaginal intercourse remains limited. The current study examined orgasm (during masturbation and with a partner) and sexual behaviors (providing and receiving manual and oral stimulation) in middle adolescents. We conducted logistic regression and path analyses separately for cisgender (n = 2738) and transgender/non-binary (TNB) youth (n = 62) to explore gender and dyad type (intersection between gender and partner gender) differences among 2800 Canadian adolescents (51.4% cisgender girls, M_age = 16.41, SD_age = 0.55). With cisgender boys as reference, cisgender girls had lower odds of experiencing orgasm during masturbation, reported more difficulties with orgasm during partnered sex, received more manual sex, and less oral sex. TNB individuals assigned male at birth received more manual stimulation, and TNB assigned female at birth received less oral sex. For dyad type, compared to cisgender boys partnered with a girl, cisgender girls partnered with a boy and cisgender girls with a gender diverse partner (i.e., non-binary, trans, genderfluid or agender) had lower odds of having ever experienced orgasm during masturbation, reported more difficulties experiencing orgasm during partnered sex, and received oral stimulation less often. Cisgender girls who were partnered with a girl did not differ from cisgender boys who were partnered with a girl. Findings may inform programs that promote sexual wellbeing among youth.

尽管青少年性行为研究一再呼吁多样性和包容性，但我们对青少年在异性恋阴道之外的性经历的理解仍然有限。目前的研究检查了青少年中期的性高潮（在手淫期间和与伴侣一起）和性行为（提供和接受手动和口腔刺激）。我们分别对顺性别 （n = 2738） 和跨性别/非二元 （TNB） 青年 （n = 62） 进行了逻辑回归和路径分析，以探讨 2800 名加拿大青少年（51.4% 顺性别女孩，M_年龄 = 16.41，SD_年龄= 0.55）。以顺性别男孩为参考，顺性别女孩在手淫时经历性高潮的几率较低，在伴侣性行为中报告性高潮困难更多，接受更多的手动性行为，而较少。出生时被分配为男性的 TNB 个体接受更多的手动刺激，而出生时被分配为女性的 TNB 个体接受的较少。对于二人组类型，与顺性别男孩与女孩配对相比，顺性别女孩与男孩配对，顺性别女孩与性别多元化伴侣（即非二元性别、跨性别、性别流体或无性别）合作，在手淫期间经历性高潮的几率较低，报告在伴侣性行为期间体验性高潮的困难更大，接受口腔刺激的频率较低。与女孩配对的顺性别女孩与与女孩配对的顺性别男孩没有区别。研究结果可能为促进青少年性健康的计划提供信息。