Experiences with Menses in Transgender and Gender Nonbinary Adolescents

被引:16
|
作者
Schwartz, Beth, I [1 ,2 ]
Effron, Arielle [1 ]
Bear, Benjamin [3 ]
Short, Vanessa L. [1 ]
Eisenberg, Julia [1 ]
Felleman, Sarah [1 ]
Kazak, Anne E. [3 ,4 ]
机构
[1] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Obstet & Gynecol, Philadelphia, PA 19107 USA
[2] Nemours Childrens Hosp, Div Adolescent Med & Pediat Gynecol, Wilmington, DE USA
[3] Nemours Childrens Hosp, Ctr Healthcare Delivery Sci, Wilmington, DE USA
[4] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Pediat, Philadelphia, PA 19107 USA
关键词
Adolescent; Transgender; Gender nonbinary; Gender diverse; Gender dysphoria; Menses; Menstrual management; Menstrual suppression; Hormonal contraception; YOUTH; TESTOSTERONE;
D O I
10.1016/j.jpag.2022.01.015
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Study Objective: To describe menstrual history, associated dysphoria, and desire for menstrual management in transgender male and gender diverse adolescents who were assigned female at birth Design: Retrospective chart review Setting: Tertiary care children's hospital Participants: All patients seen in a multidisciplinary pediatric gender program from March 2015 through December 2020 who were assigned female at birth, identified as transgender male or gender nonbinary, and had achieved menarche Intervention: None Main Outcome Measures: Patient demographics, menstrual history, interest in and prior experiences with menstrual management, parental support, and concerns about menstrual management Results: Of the 129 included patients, 116 (90%) identified as transgender male and 13 (10%) as gender nonbinary, with an average age of 15 (SD 1.6) years. Almost all (93%) patients reported menstrual-related dysphoria. Most (88%) were interested in menstrual suppression. The most common reasons for desiring suppression were achievement of amenorrhea (97%) and improvement of menstrual-related dysphoria (63%). Conclusions: Most gender diverse patients assigned female at birth reported dysphoria associated with menses and desired menstrual suppression. This information can encourage physicians to raise this topic and offer menstrual management for gender diverse patients who experience distress related to menses, especially for those who are not ready for or do not desire gender-affirming hormonal treatment. Future research is needed to better understand patients' experiences with menses and to determine the optimal menstrual management methods. This could be an important intervention to improve outcomes for this vulnerable population.
引用
收藏
页码:450 / 456
页数:7
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