对于跨男性患者的避孕和月经抑制
Daniel S Lee1, Christopher R Douglas
1UCLA Health Department of Obstetrics and Gynecology, West Hollywood, California.
Clinical obstetrics and gynecology
|July 16, 2025
概括
变性男性需要共同决策,以抑制月经和避孕. 确认性别的丸激素可能会抑制月经,但不是可靠的避孕药,需要仔细选择治疗方法.
科学领域:
- 生殖健康 生殖健康
- 内分泌学 在内分泌学.
- 确认性别的护理
背景情况:
- 变性男性个体有独特的生殖健康需求.
- 抑制月经和避孕是关键问题.
- 性别确认激素治疗 (GAHT) 影响生殖健康.
研究的目的:
- 为患者为中心的护理提供一个框架,涉及跨男性个体的月经抑制和避孕.
- 为了突出丸激素治疗避孕的局限性.
- 为临床医生指导在生殖健康需求的共享决策.
主要方法:
- 审查当前的文献和临床指导方针.
- 制定一个决策框架.
- 包括治疗选择表和决策树.
主要成果:
- 确认性别的丸激素疗法可以实现月经抑制,但不是一种可靠的避孕方法.
- 抑制月经和避孕是不同的,但相关的目标.
- 个性化治疗选择至关重要.
结论:
- 以患者为中心和共享决策对于跨男性生殖健康至关重要.
- 临床医生应讨论月经抑制和可靠的避孕措施.
- 结构化的方法有助于有效地解决各种患者需求.
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