Department of Obstetrics and Gynecology, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan.
Department of Pediatrics, University of Tokushima Graduate School, Tokushima, Japan.
J Obstet Gynaecol Res. 2022 Mar;48(3):866-868. doi: 10.1111/jog.15145. Epub 2022 Jan 6.
Many transgender men receive testosterone therapy to achieve virilization. The therapy is often mistaken for having a contraceptive effect because it causes amenorrhea. However, some treated patients become pregnant, which is not well known. A 25-year-old transgender man who had received testosterone for 3 years had an unplanned pregnancy during discontinuation of treatment. He was unaware of his pregnancy, resumed testosterone, and continued treatment until pregnancy was confirmed. His female child was exposed to androgens during the fetal period; thus, careful, long-term observation was required. He developed insomnia and depression during the postpartum, and giving birth made it difficult for him to change his family register to male. Transgender men can become pregnant through sexual intercourse with biological men, even during hormone replacement therapy, so correct contraception is necessary to avoid unwanted pregnancies. Transgender sex education is important to increase awareness of this issue among individuals and medical professionals.
许多跨性别男性接受睾丸激素治疗以实现男性化。这种治疗常常被误认为具有避孕效果，因为它会导致闭经。然而，一些接受治疗的患者怀孕了，但这并不为人所知。一名 25 岁的跨性别男性已经接受了 3 年的睾丸激素治疗，在停止治疗期间意外怀孕。他不知道自己怀孕了，恢复了睾丸激素治疗，并继续治疗，直到确认怀孕。他的女婴在胎儿期暴露于雄激素；因此，需要进行仔细的、长期的观察。他在产后出现失眠和抑郁，生育使他难以将其户籍改为男性。跨性别男性可以通过与男性进行性交而怀孕，即使在激素替代治疗期间也是如此，因此需要正确的避孕措施以避免意外怀孕。跨性别性教育对于提高个人和医疗专业人员对此问题的认识非常重要。
