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- Title
Reversible interventions for menstrual management in adolescents and young adults with gender incongruence.
- Authors
Roden, Rosemary Claire
- Abstract
The newly released World Professional Association for Transgender Health Standards of Care, 8th Edition specify that adolescents should be offered menstrual suppression as part of their treatment plans to suppress menses and alleviate dysphoria, provide contraception, or improve irregular bleeding on testosterone therapy. This is a review of current evidencebased options for reversible interventions for menstrual suppression in adolescents with gender dysphoria or incongruence. Shared decision-making should be used by the clinician at all times, and the clinician should be intentional in prioritizing the patient's stated needs and desires when offering interventions. No method should be withheld due to the experience of gender incongruence alone. Contraceptive options offering menstrual suppression include depot-medroxyprogesterone acetate, levonorgestrel intrauterine systems, progestin-only contraceptive pills, and combined hormonal contraceptives. Non-contraceptive options include norethindrone acetate, oral medroxyprogesterone acetate, gonadotropin-releasing hormone analogues/agonists, and danazol. Certain patients may also benefit from non-pharmacologic interventions, such as specialty menstrual underwear.
- Subjects
PREMENSTRUAL syndrome treatment; THERAPEUTIC use of testosterone; HORMONE therapy; MEDROXYPROGESTERONE; MEDICAL protocols; LEVONORGESTREL; GONADOTROPIN releasing hormone; PSYCHOSOCIAL factors; DECISION making in clinical medicine; DANAZOL; ALTERNATIVE medicine; TRANSGENDER people; ADULTS; ADOLESCENCE
- Publication
Therapeutic Advances in Reproductive Health, 2023, Vol 17, p1
- ISSN
2633-4941
- Publication type
Article
- DOI
10.1177/26334941231158251