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Related Experiment Video

Updated: May 11, 2026

Author Spotlight: Advancing Human Ovarian Repair and Cancer Studies with Surface Epithelium Organoids
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Transgender Health Emergencies: A Simulation on Ruptured Ectopic Pregnancy in a Transgender Man.

Mel Ebeling1, Andrew Bloom2

  • 1Resident Physician, Department of Emergency Medicine, University of Cincinnati College of Medicine.

Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2026
PubMed
Summary

Transgender men with female reproductive anatomy can experience ruptured ectopic pregnancy. A simulation improved medical students' ability to diagnose and manage this emergency, enhancing their confidence and communication skills with transgender patients.

Keywords:
Ectopic PregnancyEmergency MedicineLGBTQ+ HealthOB/GYNSimulationTransgender

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Gynecology

Background:

  • Ruptured ectopic pregnancy is a rare but life-threatening condition.
  • Transgender men with female reproductive anatomy are at risk, even with testosterone use.

Purpose of the Study:

  • To assess the effectiveness of a simulation in training medical students on diagnosing and managing ruptured ectopic pregnancy in transgender patients.
  • To improve medical students' confidence and communication skills when dealing with gynecological emergencies in transgender individuals.

Main Methods:

  • A 1-hour simulation case involving a 28-year-old transgender man with ruptured ectopic pregnancy.
  • Medical students practiced history taking, physical examination, diagnostic studies, patient stabilization, and consultation.
  • Sessions included prebriefing, simulation, debriefing, and postsimulation surveys.

Main Results:

  • Fifteen medical students participated in the simulation.
  • Learners reported increased suspicion for gynecological emergencies in transgender patients.
  • Confidence in diagnosing and managing ruptured ectopic pregnancy improved, as did comfort communicating with transgender patients.

Conclusions:

  • This novel simulation effectively trains medical students to diagnose and manage ruptured ectopic pregnancy in transgender patients.
  • The simulation enhances clinical skills and improves communication and understanding of biases in transgender healthcare.