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Case 91 - A 35-Year-Old Female-to-Male Transgender Patient with Vaginal Spotting on Testosterone

from Section XIII - Behavioral, Sexual, and Social Health

Published online by Cambridge University Press:  20 February 2019

David Chelmow
Affiliation:
Virginia Commonwealth University
Nicole W. Karjane
Affiliation:
Virginia Commonwealth University
Hope A. Ricciotti
Affiliation:
Harvard Medical School
Amy E. Young
Affiliation:
University of Texas, Austin
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Office Gynecology
A Case-Based Approach
, pp. 291 - 293
Publisher: Cambridge University Press
Print publication year: 2019

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References

James, SE, Herman, JL, Rankin, S et al. (2016). The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality.Google Scholar
Perrone, AM, Cerpolini, S, Maria Salfi, NC et al. Effect of long-term testosterone administration on the endometrium of female-to-male (FtM) transsexuals. J Sex Med 2009 November;6(11):31933200.Google Scholar
Center of Excellence for Transgender Health, Department of Family and Community Medicine, University of California San Francisco. Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People; 2nd edition. Deutsch MB, ed. June 2016. Available at www.transhealth.ucsf.edu/ guidelinesGoogle Scholar
Peitzmeier, SM, Reisner, SL, Harigopal, P, Potter, J. Female-to-male patients have high prevalence of unsatisfactory Paps compared to non-transgender females: implications for cervical cancer screening. J Gen Intern Med 2014 May;29(5):778784.Google Scholar
Munro, MG, Critchley, HOD, Broder, MS, Fraser, IS, FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet 2011 April;113(1):313.Google Scholar
American College of Obstetricians and Gynecologists. Diagnosis of abnormal uterine bleeding in reproductive-aged women. Practice bulletin No. 128. Obstet Gynecol 2012;120:197206.CrossRefGoogle Scholar
Nakamura, A, Watanabe, M, Sugimoto, M et al. Dose-response analysis of testosterone replacement therapy in patients with female to male gender identity disorder. Endocr J 2013;60(3):275281.Google Scholar

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