Management of Menstruation in Transgender and Gender Nonbinary Adolescents

被引：4
|
作者：
Berrahou, Iman K. [1 ]
Grimes, Andrew [1 ]
Autry, Amy M. [1 ]
Hawkins, Mitzi [1 ,2 ]
机构：
[1] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, 10th Floor,Box 0132, San Francisco, CA 94143 USA
[2] San Francisco VA Med Ctr, San Francisco, CA USA
来源：
CLINICAL OBSTETRICS AND GYNECOLOGY | 2022年 / 65卷 / 04期
关键词：
transgender; gender nonbinary; adolescents; menstruation suppression; gender affirmation; gender identity; BONE-MINERAL DENSITY; PUBERTY SUPPRESSION; BLEEDING PATTERNS; MINORITY STRESS; SUBSTANCE USE; YOUNG-ADULTS; OPEN-LABEL; HEALTH; CARE; WOMEN;
D O I：
10.1097/GRF.0000000000000710
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
A growing number of adolescents in the United States identify as transgender and gender nonbinary, and many will seek medical management of menstruation. In this evidence-based review, we recommend a model of gender-affirming care grounded in the tenants of reproductive justice, emphasizing patient autonomy and the development of holistic management plans centered around the patient's unique goals for affirming their gender identity. We then review strategies for achieving menstruation suppression for transgender and gender nonbinary adolescents, including dosing considerations, menstruation, ovulation, contraceptive effects, and metabolic considerations specific to the adolescent population.
引用
收藏
页码：753 / 767
页数：15
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