Akgül Sinem, Tüzün Zeynep, Pehlivantürk Kızılkan Melis, Ozon Zeynep Alev
Hacettepe University Faculty of Medicine, Department of Pediatrics, Division of Adolescent Medicine, Ankara, Turkey
Hacettepe University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Endocrinology, Ankara, Turkey
J Clin Res Pediatr Endocrinol. 2022 Dec 1;14(4):463-468. doi: 10.4274/jcrpe.galenos.2021.2020.0283. Epub 2021 May 28.
The purpose of this case series was to evaluate menstrual suppression in sex assigned at birth female adolescents identifying as male or gender non-conforming. A retrospective chart review of four gender minority youth (GMY), age 14-17, was performed for gender identity history, type and success of menstrual suppression, method satisfaction, side effects and improvement in menstrual distress. Menstrual suppression was successful in three patients, one patient discontinued use due to side effects that caused an increase in gender dysphoria. Menstrual distress and bleeding pattern improved in the majority of GMY in this series but side effects, as well as contraindications, may limit their use. In conclusion, menstrual dysphoria can be life-threatening for GMY and it is important that clinicians consider menstrual suppression in GMY with menstrual dysphoria. This series emphasizes the importance of individualized treatment plans.
本病例系列的目的是评估出生时被指定为女性的青少年（自我认同为男性或性别不一致者）的月经抑制情况。对4名年龄在14 - 17岁的性别少数青年（GMY）进行了回顾性病历审查，内容包括性别认同史、月经抑制的类型和成功率、方法满意度、副作用以及月经困扰的改善情况。3例患者月经抑制成功，1例患者因副作用导致性别焦虑增加而停药。本系列中的大多数GMY的月经困扰和出血模式有所改善，但副作用以及禁忌症可能会限制其使用。总之，月经焦虑对GMY可能是危及生命的，临床医生考虑对有月经焦虑的GMY进行月经抑制很重要。本系列强调了个体化治疗计划的重要性。
