在性别不同的青少年中,与月经有关的社会支持:一种定性研究
Christopher Garrick1, Benjamin Bear2, Meghan Gannon1
1Department of Obstetrics and Gynecology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Journal of pediatric and adolescent gynecology
|April 18, 2025
概括
社会支持对于性别多样性青少年 (GDAs) 管理月经和获得性别肯定护理至关重要. 了解支持系统有助于改善他们的整体医疗保健体验和福祉.
科学领域:
- 青少年健康 青少年健康
- 确认性别的护理
- 心理健康 心理健康
背景情况:
- 月经会在性别不同的青少年 (GDAs) 中引起显著的痛苦和失调.
- 这种痛苦与抑郁,焦虑和自杀念头的风险增加有关.
- 社会支持对GDAs月经管理和护理经验的影响尚不清楚.
研究的目的:
- 调查社会支持对GDAs月经管理的影响.
- 确定社会支持如何影响GDAs对性别肯定护理的获得和满意度.
主要方法:
- 半结构性电话采访对36名12至20岁的GDA进行了采访,这些GDA经历过初潮.
- 参与者讨论了月经对他们的心理健康,关系,日常活动以及管理/抑制经验的影响.
主要成果:
- 在社会支持方面出现了六个关键主题:支持类型,支持人员,学校环境,医疗提供者,资源和建议.
- 社会支持对GDAs在月经管理和性别肯定护理方面的导航有重大影响.
结论:
- 社会支持对于接受性别确认护理和月经管理的GDA至关重要.
- 家庭,同龄人和医疗保健专业人员提供的肯定环境是必不可少的.
- 临床医生可以通过使用首选代词,承认性别障碍症,并让GDA参与决策来加强护理.
相关概念视频
Hormonal Regulation of the Menstrual Cycle
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH release.
The Menstrual Cycle
The menstrual cycle is a recurrent sequence of changes in the uterine endometrium, specifically its functional layer, the stratum functionalis. This cycle prepares the uterus for potential pregnancy. This cycle typically spans 21–35 days, averaging 28 days, and aligns with the ovarian cycle, regulated by fluctuating levels of ovarian hormones, primarily estrogen and progesterone.
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a uterine...
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a uterine...
Menses Phase
The uterine cycle begins with the menstrual phase, which is considered day one of the cycle and typically lasts about five days. This phase is characterized by the degeneration and shedding of the stratum functionalis, the functional layer of the endometrium.
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
Ethnic Identity within a Larger Culture
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
Socioemotional Experience and Gender Development
Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
Sources of Self-Esteem I: Family Experience
Self-esteem, a crucial component of psychological development, is significantly shaped by familial experiences. The early parent-child relationship serves as a foundational influence on a child's self-concept, with long-lasting effects extending into adolescence and adulthood.Parental Behaviors and Early Self-Esteem FormationEmpirical studies have identified four principal parental behaviors that foster healthy self-esteem in children. These include expressions of acceptance, affection, and...


