Acevedo-Arroyo Alexandra N, Cruz-Perez Hazel, Mejías-Ramos Jorge Luis, Reyes-Rosario Coral, Romaguera Josefina, González-Rodríguez Loida
Department of Obstetrics and Gynecology, University of Puerto Rico, San Juan, Puerto Rico, USA.
The Woman's Health Pavilion, Westbury, New York, USA.
Int J Gynaecol Obstet. 2025 Jul;170(1):59-63. doi: 10.1002/ijgo.16158. Epub 2025 Jan 18.
There is limited research concerning the transgender population's health issues, such as gender dysphoria, and disparities within the healthcare system, especially in the Latino or Hispanic population. This study aimed to report the case of a Puerto Rican transgender man who achieved pregnancy without reproductive assistance after cessation of testosterone therapy for 3 months and who in the postpartum period experienced significant gender dysphoria. A narrative literature review was carried out to identify the role of gender dysphoria in pregnancy, lactation, health-related spaces, and mental health. Gender dysphoria is an important component of reproductive care in this population and can be accompanied by mental health issues that can directly impact the preconception, conception, and postpartum periods. The identification of gender dysphoria and how to properly manage it during pregnancy in transgender individuals can aid in the process of providing affirming and inclusive reproductive health care to this population.
关于跨性别群体的健康问题，如性别焦虑症，以及医疗保健系统中的差异，尤其是拉丁裔或西班牙裔群体中的此类问题，相关研究有限。本研究旨在报告一名波多黎各跨性别男性的案例，该男性在停止睾酮治疗3个月后未经生殖辅助成功怀孕，且在产后经历了严重的性别焦虑症。进行了一项叙述性文献综述，以确定性别焦虑症在怀孕、哺乳、健康相关领域和心理健康中的作用。性别焦虑症是该群体生殖保健的一个重要组成部分，可能伴有心理健康问题，这些问题会直接影响孕前、孕期和产后阶段。识别跨性别个体怀孕期间的性别焦虑症以及如何妥善处理，有助于为该群体提供肯定性和包容性生殖健康护理。
