Experiences of Gender Minority Youth With the Intrauterine System

Akgül, Sinem; Bonny, Andrea E.; Ford, Nancy; Holland-Hall, Cynthia; Chelvakumar, Gayathri

doi:10.1016/j.jadohealth.2018.11.010

Cited by 15 publications

(15 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A more detailed description of the relevant clinical studies is presented in Chapter 12—Hormone Therapy. HCPs should not make assumptions regarding the individual’s preferred method of administration as some trans masculine youth may prefer vaginal rings or IUD implants (Akgul et al., 2019 ). Although hormonal medications require monitoring for potential mood lability, depressive effects, or both, the benefits and risks of untreated menstrual suppression in the setting of gender dysphoria should be evaluated on an individual basis.…”

Section: Chapter 6 Adolescentsmentioning

confidence: 99%

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Coleman

Radix

Bouman

et al. 2022

International Journal of Transgender Health

1,006

492

View full text Add to dashboard Cite

Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8. Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment. Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings. Results: A total of 18 chapters were developed as part of the SOC-8. They contain recommendations for health care professionals who provide care and treatment for TGD people. Each of the recommendations is followed by explanatory text with relevant references. General areas related to transgender health are covered in the chapters Terminology, Global Applicability, Population Estimates, and Education. The chapters developed for the diverse population of TGD people include Assessment of Adults, Adolescents, Children, Nonbinary, Eunuchs, and Intersex Individuals, and people living in Institutional Environments. Finally, the chapters related to gender-affirming treatment are Hormone Therapy, Surgery and Postoperative Care, Voice and Communication, Primary Care, Reproductive Health, Sexual Health, and Mental Health. Conclusions: The SOC-8 guidelines are intended to be flexible to meet the diverse health care needs of TGD people globally. While adaptable, they offer standards for promoting optimal health care and guidance for t...

show abstract

Section: Chapter 6 Adolescentsmentioning

confidence: 99%

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Coleman

Radix

Bouman

et al. 2022

International Journal of Transgender Health

1,006

492

View full text Add to dashboard Cite

show abstract

“…Menstruation is a monthly reminder to these teens that their SAB does not align with their gender identity. Studies have reported increased rates of depression, thoughts of self-harm and suicidal ideation in GMY while menstruating ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

“…Menstrual suppression refers to the practice of using hormonal management to reduce menstrual bleeding with the goal of achieving therapeutic amenorrhea ( 12 ). The hormonal methods used to manipulate menstruation are totally reversible and studies have shown they may increase quality of life and relieve the menstrual dysphoria experienced by GMY ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Menstrual Suppression in Gender Minority Youth

Akgül¹,

Tüzün²,

Kızılkan³

et al. 2022

Jcrpe

View full text Add to dashboard Cite

The purpose of this case series was to evaluate menstrual suppression in sex assigned at birth female adolescents identifying as male or gender non-conforming. A retrospective chart review of four gender minority youth (GMY), age 14-17, was performed for gender identity history, type and success of menstrual suppression, method satisfaction, side effects and improvement in menstrual distress. Menstrual suppression was successful in three patients, one patient discontinued use due to side effects that caused an increase in gender dysphoria. Menstrual distress and bleeding pattern improved in the majority of GMY in this series but side effects, as well as contraindications, may limit their use. In conclusion, menstrual dysphoria can be life-threatening for GMY and it is important that clinicians consider menstrual suppression in GMY with menstrual dysphoria. This series emphasizes the importance of individualized treatment plans.

show abstract

“…In this issue of the Journal of Adolescent Health, Akgul et al [7] report on a retrospective chart review of adolescents identifying as transmasculine or nonbinary (GMY) who selected a levonorgestrel (LNG) IUD for menstrual suppression. Thirty GMY selected the 52 mg LNG-IUD for this indication.…”

mentioning

confidence: 99%

“…Current standards of gender care do not mention the IUD [10,15]. Akgul et al and other emerging research reveal that the IUD can be an effective option for menstrual suppression and presumably an effective choice for contraception for transgender men and nonbinary people who engaged in sexual behaviors that put them at risk for pregnancy [7,12,13]. Future guidelines for the care for this population should include a discussion of contraceptive options with those who may be at risk for pregnancy and include the IUD when discussing menstrual suppression.…”

mentioning

confidence: 99%

Intrauterine Devices in Gender Minority Youth: An Option to Decrease Dysphoria and Unintended Pregnancies

Guss

2019

Journal of Adolescent Health

View full text Add to dashboard Cite

Experiences of Gender Minority Youth With the Intrauterine System

Cited by 15 publications

References 22 publications

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Menstrual Suppression in Gender Minority Youth

Intrauterine Devices in Gender Minority Youth: An Option to Decrease Dysphoria and Unintended Pregnancies

Contact Info

Product

Resources

About