Carswell Jeremi M, Roberts Stephanie A
Department of Medicine, Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts.
Transgend Health. 2017 Nov 1;2(1):195-201. doi: 10.1089/trgh.2017.0021. eCollection 2017.
The treatment of persistent uterine bleeding in those patients who identify as transmasculine or nonbinary is often straightforward, but can be difficult in a subset of patients. This article reviews the physiology of the normal menstrual cycle and the hormonal influences on the endometrium, and then explores options for the treatment of persistent bleeding for people both already on testosterone and for those who are either not ready for or who do not desire testosterone.
对于那些自我认同为男性化或非二元性别的患者,持续性子宫出血的治疗通常较为简单,但在一部分患者中可能会比较困难。本文回顾了正常月经周期的生理学以及激素对子宫内膜的影响,然后探讨了针对已经在使用睾酮的人群以及那些尚未准备好使用或不希望使用睾酮的人群治疗持续性出血的方案。