Dysmenorrhea and Endometriosis in Transgender Adolescents

Journal of Pediatric and Adolescent Gynecology
Jessica Y ShimFrances W Grimstad

Abstract

To study the presentation of dysmenorrhea and endometriosis in transmasculine adolescents and review their treatment outcomes. A retrospective review SETTING: Boston Children's Hospital PARTICIPANTS: Transmasculine persons less than 26 years old who were diagnosed with dysmenorrhea and treated between January 1, 2000 and March 1, 2020 INTERVENTIONS: Not applicable MAIN OUTCOME MEASURE(S): An electronic medical record review of the clinical characteristics, transition-related care, and treatment outcomes. Dysmenorrhea was diagnosed in 35 transmasculine persons. Mean age was 14.9 years ± 1.9 years. Twenty-nine (82.9%) were diagnosed after social transition. Twenty-three (65.7%) were first treated with combined oral contraceptives, but 61% (14/23) discontinued or transitioned to alternative therapy. Twelve patients with dysmenorrhea alone initiated testosterone, and 33.3% (4/12) experienced persistent symptoms. Only seven with dysmenorrhea (20.0%) were laparoscopically evaluated for endometriosis, and it was confirmed in all seven. Six had stage I disease, and one had stage II. Three were diagnosed after social transition (42.9%), with one diagnosed 20 months after initiating testosterone. Their endometriosis was treated with comb...Continue Reading

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Citations

Apr 29, 2021·Journal of Pediatric and Adolescent Gynecology·Frances GrimstadElizabeth R Boskey
Jul 12, 2021·Journal of Pediatric and Adolescent Gynecology·Paula J Adams Hillard
Sep 29, 2020·Journal of Pediatric and Adolescent Gynecology·Paula J Adams Hillard
Feb 5, 2022·LGBT Health·Lauren AbernJose Carugno

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