当前位置: X-MOL 学术Curr. Probl. Pediatr. Adolesc Health Care › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Menstrual considerations for transgender male and gender diverse adolescents who were assigned female at birth
Current Problems in Pediatric and Adolescent Health Care ( IF 1.6 ) Pub Date : 2022-08-08 , DOI: 10.1016/j.cppeds.2022.101239
Eric Weiselberg 1
Affiliation  

Menstruation is a female normative process. Physiologically, it indicates that the hypothalamic-pituitary-ovarian axis is functioning appropriately, and all the correct female end-organs are intact. Menarche also heralds a girl's arrival into womanhood, which culturally is often celebrated. It is a sign of the possibility of fertility, pregnancy and motherhood. However, menstruation for transgender males, and other gender diverse individuals assigned female at birth, may be anything but celebratory. For these adolescents, menstruation is an indication that one's body is not functioning appropriately and that one does not have the correct organs congruent to their gender identity. Menstruation or the anticipation of menarche for many transgender males is often met with worsening of dysphoria, anxiety, depression and suicidal ideation. Therefore, to meet the physiologic and psychologic needs of transgender males, one needs to be aware of issues that may be present in relation to menstruation and be knowledgeable on how to medically proceed with sensitivity and respect toward one's gender identity. Research on menstruation, both from a physical and psychologic perspective, has been historically based on women and cannot be simply extrapolated to be the same for transgender males. Although there is a paucity of literature on the subject, over the past decade there has begun to be a great interest in the care of transgender individuals. This article focuses on concerns related to menstruation among transgender adolescent males and gender diverse individuals assigned female at birth, including suppression of menses, fertility, contraception, and pregnancy.



中文翻译:

出生时被指定为女性的跨性别男性和性别多样化青少年的月经注意事项

月经是女性的一个正常过程。在生理上,它表明下丘脑-垂体-卵巢轴功能正常,所有正确的女性终末器官都完好无损。月经初潮也预示着女孩进入女性期,这在文化上经常被庆祝。它是生育、怀孕和生育可能性的标志。然而,跨性别男性和其他出生时被指定为女性的不同性别的人的月经可能并不值得庆祝。对于这些青少年来说,月经表明一个人的身体机能不正常,并且没有与其性别认同相符的正确器官。许多跨性别男性的月经或月经初潮的预期往往伴随着烦躁不安的恶化、焦虑、抑郁和自杀意念。因此,为了满足跨性别男性的生理和心理需求,人们需要意识到可能存在的与月经有关的问题,并了解如何在医学上以敏感和尊重个人性别认同的方式进行。从生理和心理角度对月经的研究历来都是以女性为基础的,不能简单地推断为跨性别男性也是如此。尽管关于该主题的文献很少,但在过去十年中,人们开始对跨性别者的护理产生浓厚兴趣。本文重点关注跨性别青春期男性和出生时被指定为女性的性别多样化个体的月经问题,包括抑制月经、生育、避孕和怀孕。

更新日期:2022-08-08
down
wechat
bug