在接受丸激素治疗的跨男性青少年的盆腔疼痛
Dehlia Moussaoui1, Charlotte V Elder1,2, Michele A O'Connell3
1Department of Paediatric and Adolescent Gynaecology, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
International journal of transgender health
|February 7, 2024
概括
盆腔疼痛影响了近四分之一的接受丸激素治疗的跨性别青少年,通常被描述为或类似于月经疼痛. 抑制月经可能会增加这种风险,因此需要进一步研究原因和治疗方法.
科学领域:
- 内分泌学 在内分泌学.
- 青少年医学 青少年医学
- 肯定性别的护理
背景情况:
- 盆腔疼痛在出生时被分配为女性的个体中很常见.
- 在接受丸激素治疗的跨男性青少年的盆腔疼痛方面存在有限的研究.
- 以前的研究主要集中在成年人群.
研究的目的:
- 为了调查接受性别确认的跨性别青少年的骨盆疼痛的患病率.
- 为了确定这一群体的骨盆疼痛的风险因素,特征和治疗策略.
- 为了解决理解青少年丸激素相关的骨盆疼痛的差距.
主要方法:
- 开始接受丸激素治疗的跨性别青少年的回顾性队列研究 (2007-2020年).
- 纳入标准:开始使用丸激素,并跟踪至少六个月.
- 数据分析包括患病率,危险因素,疼痛描述因素和治疗结果.
主要成果:
- 23.4% (37/158) 的跨性别青少年在开始使用丸激素后报告骨盆疼痛.
- 疼痛的中位数发生在开始后的1.6个月.
- 在接受月经抑制 (26.3%) 的人群中,盆腔疼痛的患病率明显高于未接受月经抑制的人群 (4.8%).
- 疼痛被描述为"" (45.9%) 或"类似于前期疼痛" (21.6%).
- 使用各种药物和非药物治疗方法,结果不一致.
结论:
- 这项研究报告了第一个已知的骨盆疼痛在丸激素的跨性别青少年中的流行情况,影响了大约四分之一的患者.
- 月经抑制可能与更高的盆腔疼痛发病率有关.
- 需要进一步的前性研究来阐明病因和优化管理青少年的丸激素相关的骨盆疼痛.
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