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Chapter 14 - Diagnostics and Treatment of Gynecological and Nongynecological Causes of Pelvic Pain

from Section B - Practicing Transgynecology

Published online by Cambridge University Press:  22 December 2022

By
Frances Grimstad  and
Rixt AC Luikenaar
Edited by
Mick van Trotsenburg ,
Rixt A. C. Luikenaar  and
Maria Cristina Meriggiola
Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

Pelvic pain can affect every human being. Because surgical and medical transition can lead to changes in anatomy and physiology, the work-up of pelvic pain in transgender patients may differ from cisgender patients. Masculinizing and feminizing hormone therapy can influence the differential diagnosis by increasing (e.g. gastric motility concerns on estrogen) and decreasing (e.g. ovulation-related pain on testosterone) certain pathologies’ frequency. Gender-affirming surgeries can introduce new anatomy (e.g. vaginoplasty) as well as remove anatomy (e.g. hysterectomy), which may influence pelvic pain. Transgender people may also have psychological and social factors which can influence their risk for or management of pain. Little evidence exists to guide understanding how the diagnosis, evaluation, and management of pelvic pain differs in the transgender community, but a few key considerations are emerging in the literature and will be addressed in this chapter.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
 , pp. 103 - 113
Publisher: Cambridge University Press
Print publication year: 2022

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