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Menstrual Suppression in Gender Minority Youth
Sinem Akgül1, Zeynep Tüzün1, Melis Pehlivantürk Kızılkan1
1Hacettepe University Faculty of Medicine, Department of Pediatrics, Division of Adolescent Medicine, Ankara, Turkey
Summary
Menstrual suppression can be effective for gender minority youth (GMY) experiencing menstrual distress. However, side effects may limit use, highlighting the need for individualized treatment plans for these adolescents.
Area of Science:
- Adolescent Medicine
- Gender-Affirming Care
- Reproductive Health
Background:
- Menstrual distress significantly impacts quality of life for many adolescents.
- Gender minority youth (GMY) may experience heightened distress related to menstruation due to gender dysphoria.
- Limited research exists on menstrual suppression efficacy and safety in GMY.
Purpose of the Study:
- To evaluate the effectiveness and safety of menstrual suppression in adolescents identifying as male or gender non-conforming.
- To assess patient satisfaction and side effects associated with menstrual suppression methods.
- To determine the impact of menstrual suppression on menstrual distress in GMY.
Main Methods:
- Retrospective case series review of four gender minority youth (GMY) aged 14-17.
- Analysis of gender identity history, menstrual suppression type, success rates, satisfaction, and side effects.
- Assessment of changes in menstrual distress and bleeding patterns post-intervention.
Main Results:
- Menstrual suppression was successful in three out of four GMY.
- One patient discontinued treatment due to side effects that exacerbated gender dysphoria.
- The majority of participants reported improvement in menstrual distress and bleeding patterns.
Conclusions:
- Menstrual suppression can be a beneficial intervention for GMY experiencing menstrual dysphoria.
- Potential side effects and contraindications necessitate careful consideration and individualized treatment approaches.
- Addressing menstrual dysphoria is crucial, as it can pose significant health risks for GMY.
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