Toze Michael, Westwood Sue
Lincoln Medical School, University of Lincoln, Lincoln, United Kingdom of Great Britain and Northern Ireland.
York Law School, University of York, York, United Kingdom of Great Britain and Northern Ireland.
Int J Transgend Health. 2024 Aug 10;26(2):447-458. doi: 10.1080/26895269.2024.2389924. eCollection 2025.
Conventional categorizations of menopause can be difficult to apply to trans, gender non-conforming and non-binary (TGNB) populations. Menopause has biological, psychological and social meanings that may be hard to clearly apply within a context of diverse experiences of sex and gender. Nonetheless, some TGNB people do experience menopause, and their experiences may be different from those of other groups due to those diverse biopsychosocial understandings and experiences.
This paper thematically analyses the responses of 15 TGNB respondents who responded to a larger survey about LGBTQ+ experiences of menopause.
Two key themes were identified: Menopause and embodied identities, and Navigating gender normativity and gender binarism. The first of these contains two sub-themes, shifting and (un)settled gender identities, and embodied dis/connections with femaleness.
These findings appear to be comparatively novel within the published academic literature but potentially have some parallels with prior observations regarding interactions between puberty and gender identity, and also regarding TGNB people's experiences of challenges in navigating other health and life experiences normatively understood as female. These explorations raise a number of potentially sensitive questions, given the current debate and controversies around gender, sex and identity. Nonetheless, they point to a need for further research and practice into menopause that is inclusive and supportive of a range of gender and sexual identities.
传统的更年期分类可能难以应用于跨性别、性别不一致和非二元性别(TGNB)人群。更年期具有生物学、心理学和社会意义,在性与性别的多样化经历背景下,可能难以明确适用。尽管如此,一些TGNB人群确实经历更年期,由于这些多样化的生物心理社会理解和经历,他们的经历可能与其他群体不同。
本文对15名TGNB受访者的回答进行了主题分析,这些受访者回应了一项关于LGBTQ+人群更年期经历的更大规模调查。
确定了两个关键主题:更年期与身体身份,以及应对性别规范性和性别二元论。其中第一个主题包含两个子主题,即不断变化和(未)稳定的性别身份,以及与女性特质的身体上的疏离/联系。
这些发现在已发表的学术文献中似乎相对新颖,但可能与之前关于青春期与性别认同之间的相互作用,以及TGNB人群在应对其他通常被视为女性的健康和生活经历时所面临挑战的观察结果有一些相似之处。鉴于当前围绕性别、性和身份的辩论和争议,这些探索提出了一些潜在敏感的问题。尽管如此,它们指出需要对更年期进行进一步的研究和实践,以包容和支持一系列性别和性身份。