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Transgender male athletes may experience menstrual dysfunction due to inadequate energy availability, often linked to gender identity and athletic goals. Addressing psychological factors is crucial for treatment and restoring normal menses.

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Area of Science:

  • Sports Medicine
  • Endocrinology
  • Psychology

Background:

  • Menstrual dysfunction and impaired athletic performance are common in female athletes.
  • Transgender male athletes may face unique challenges impacting energy availability and hormonal health.
  • Psychological factors, including gender identity and disordered eating, can influence athletic performance and menstrual function.

Purpose of the Study:

  • To investigate the case of a transgender male athlete presenting with menstrual dysfunction and decreased athletic performance.
  • To identify the underlying causes of these symptoms in the context of gender identity and athletic motivations.
  • To highlight the importance of addressing psychological motivators in the treatment of transgender athletes.

Main Methods:

  • Case study of a 16.5-year-old transgender male distance runner.
  • Evaluation of menstrual function and athletic performance.
  • Assessment of energy availability and psychological factors.

Main Results:

  • The patient experienced menstrual dysfunction and reduced athletic performance attributed to inadequate energy availability.
  • The motivation for inadequate energy availability was linked to a desire to avoid menstruation and further development of secondary sex characteristics.
  • Weight gain of 4.75 kg led to the resumption of normal menses.

Conclusions:

  • Inadequate energy availability is a significant factor in menstrual dysfunction and impaired athletic performance in transgender male athletes.
  • Psychological motivators, including gender identity, disordered eating, and athletic goals, play a complex role.
  • Comprehensive evaluation and treatment must address the interplay of gender identity, disordered eating, and athletic performance in transgender athletes.