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. 2022 Dec 1;65(4):753-767.
doi: 10.1097/GRF.0000000000000710. Epub 2022 Apr 19.

Management of Menstruation in Transgender and Gender Nonbinary Adolescents

Iman K Berrahou  1 , Andrew Grimes  1 , Amy M Autry  1 , Mitzi Hawkins  1   2
Affiliations

Management of Menstruation in Transgender and Gender Nonbinary Adolescents

Iman K Berrahou et al. Clin Obstet Gynecol. .

Abstract

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.

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References

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