Berrahou Iman K, Grimes Andrew, Autry Amy M, Hawkins Mitzi
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco.
San Francisco Veteran Affairs Medical Center, San Francisco, California.
Clin Obstet Gynecol. 2022 Dec 1;65(4):753-767. doi: 10.1097/GRF.0000000000000710. Epub 2022 Apr 19.
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.
在美国，越来越多的青少年认定自己为跨性别者和性别非二元者，其中许多人会寻求对月经的医学管理。在这项基于证据的综述中，我们推荐一种基于生殖正义原则的性别肯定性护理模式，强调患者的自主权，并围绕患者确认其性别认同的独特目标制定全面的管理计划。然后，我们回顾了为跨性别和性别非二元青少年实现月经抑制的策略，包括剂量考量、月经、排卵、避孕效果以及青少年人群特有的代谢考量。
