超越二进制:变性男性患者的骨盆疼痛和骨盆地障碍
Mallory Youngstrom1, Morgan Buchanan2, Mariana Sanchez-Medina2
1From the Department of Obstetrics and Gynecology, Emory School of Medicine.
Urogynecology (Philadelphia, Pa.)
|June 18, 2025
概括
变性男性和性别不符合的个人经历骨盆底疾病和慢性骨盆疼痛,面临独特的医疗保健障碍. 了解这些经验对于改善护理和解决这一群体未满足的需求至关重要.
科学领域:
- 骨盆底疾病和慢性骨盆疼痛研究.
- 跨性别者和性别不符合的医疗保健.
- 定性健康研究方法. 定性健康研究方法.
背景情况:
- 变性男性和性别不符合 (TMGNC) 个人在出生时被分配为女性,经历骨盆底障碍 (PFD) 和慢性骨盆疼痛 (CPP).
- 与 cisgender 女性相比,这一群体面临着明显的医疗保健障碍.
- 独特的患者互动和护理需求需要调查.
研究的目的:
- 质量分析TMGNC个人与PFD和CPP的经验.
- 探索TMGNC患者与医疗保健系统的相互作用,以治疗PFD/CPP.
- 识别跨性别友好护理的障碍和促进者.
主要方法:
- 与14名TMGNC参与者进行了半结构化的深度访谈.
- 探索症状表现,感知,管理和医疗保健相互作用.
- 使用MAXQDA软件进行定性主题分析.
主要成果:
- 参与者报告了膀过活,尿失禁,阴道干燥和性高潮后的疼痛.
- 生活方式的修改是常见的,以管理症状.
- 与医疗保健系统的经验是混合的,报告了积极和消极的相互作用.
结论:
- 这项研究揭示了TMGNC患者面临的特定症状和医疗保健挑战.
- 调查结果可以为减轻医疗保健系统障碍的策略提供信息,以提高医疗保健质量.
- 进一步的研究是必不可少的,以充分理解和解决TMGNC个人的独特需求.
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