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Endometriosis in Trans Men

- Details
- Heather Jeffcoat, DPT
- 939
Individuals affected by
What is Endometriosis ?
The tissue that lines the uterus is called endometrium. With
Common symptoms of endometriosis include:
- Painful periods (dysmenorrhea)
- Pain with penetrative intercourse (dyspareunia)
- GI issues - pain with bowel movements, diarrhea, constipation, abdominal bloating, nausea)
- Painful bladder or urinary urgency and frequency
- Vulvar pain (vulvodynia or vestibulodynia)
- Low back or sciatic pain and other orthopedic issues, including jaw pain (TMJ Dysfunction)
- Pain that radiates down the legs
- Missing school or work due to pain
- Infertility or other fertility challenges
- Fatigue
- Brain fog
Gender Dysphoria
Transgender men are folks that are assigned female at birth but identify as male or choose to take on a masculine gender expression. Transgender men often experience gender dysphoria due to the mismatch of their biological gender and their gender identity. Most transmasculine individuals are aware of menstrual suppression and have a desire to stop their menstrual cycle more than their cisgender peers, as menstrual symptoms can amplify feelings of gender dysphoria, even more so if menstruation is accompanied by the severe pain associated with
Gender Equality in Healthcare
It is widely recognized that trans people experience additional barriers to accessing health care.3 Due to the desire to be perceived as more masculine, trans men may underreport their
Endometriosis Treatments
Some trans men choose to transition to their self-identified gender, and a proportion of these patients are prescribed long-term regimens of testosterone therapy. Testosterone therapy is also often provided as a way to cause cessation to ovulation and menses for trans men which can be crucial for gender affirmation. Hysterectomy is a common surgery that is often offered as treatment for dysmenorrhea with transmasculine men with suspected or confirmed
Treating
Don’t know where to start? Start with a pelvic floor physical therapist to get a full examination (orthopedic and pelvic floor) and help with guidance throughout your journey to the appropriate practitioners and treatment.
Trans Endometriosis Support Groups:
Endo Knows No Gend-O: https://www.facebook.com/groups/117791448846494
endoQueer: https://www.facebook.com/groups/1655289847828418
Endo Siblings: https://www.facebook.com/groups/175916623758244/
References:
- Ferrando CA.
Endometriosis in transmasculine individuals. Reprod Fertil. 2022 Apr 20;3(2):C7-C10. doi: 10.1530/RAF-21-0096. PMID: 35706580; PMCID: PMC9175596. - Shim JY, Laufer MR, Grimstad FW. Dysmenorrhea and
Endometriosis in Transgender Adolescents. J Pediatr Adolesc Gynecol. 2020 Oct;33(5):524-528. doi: 10.1016/j.jpag.2020.06.001. Epub 2020 Jun 11. PMID: 32535219. - Hafeez H, Zeshan M, Tahir MA, Jahan N, Naveed S. Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review. Cureus. 2017 Apr 20;9(4):e1184. doi: 10.7759/cureus.1184. PMID: 28638747; PMCID: PMC5478215.
**This information is for educational purposes only and is not intended to replace the advice of your doctor.
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