Related Experiment Video
Updated: Sep 15, 2025
06:24
Establishment of Rat Models Mimicking Gender-affirming Hormone Therapies
Published on: January 10, 2025
927
Contraception and Menstrual Suppression for Transmasculine Patients
Daniel S Lee1, Christopher R Douglas
1UCLA Health Department of Obstetrics and Gynecology, West Hollywood, California.
Clinical Obstetrics and Gynecology
|July 16, 2025
Summary
Transmasculine individuals need shared decision-making for menstrual suppression and contraception. Gender-affirming testosterone may suppress menstruation but isn't reliable birth control, requiring careful treatment selection.
Area of Science:
- Reproductive Health
- Endocrinology
- Gender-Affirming Care
Background:
- Transmasculine individuals have unique reproductive health needs.
- Menstrual suppression and contraception are key concerns.
- Gender-affirming hormone therapy (GAHT) impacts reproductive health.
Purpose of the Study:
- To provide a framework for patient-centered care regarding menstrual suppression and contraception in transmasculine individuals.
- To highlight the limitations of testosterone therapy for contraception.
- To guide clinicians in shared decision-making for reproductive health needs.
Main Methods:
- Review of current literature and clinical guidelines.
- Development of a decision-making framework.
- Inclusion of a treatment options table and decision tree.
Main Results:
- Gender-affirming testosterone therapy can achieve menstrual suppression but is not a reliable contraceptive method.
- Menstrual suppression and contraception are distinct but related goals.
- Individualized treatment selection is crucial.
Conclusions:
- Patient-centered and shared decision-making are essential for transmasculine reproductive health.
- Clinicians should discuss both menstrual suppression and reliable contraception.
- A structured approach aids in addressing diverse patient needs effectively.
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