Gynecologic function and dysfunction in transmasculine and gender-diverse individuals using testosterone therapy: a systematic review

Testosterone-based gender-affirming hormone therapy has diverse effects on gynecologic function in transmasculine and gender-diverse individuals, including both physiologically expected as well as underexplored effects. Clinicians should adopt an individualized and affirming approach to care, while further research is needed to understand long-term outcomes, improve assessment tools, and close gaps in inclusive gynecologic healthcare.

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Publication Details

Journal
American Journal of Obstetrics and Gynecology
Published
2026-02-01
DOI
https://doi.org/10.1016/j.ajog.2026.01.036
Primary Topic
Menopause: Health Impacts and Treatments
Type
article
Field-Weighted Citation Impact
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article

Gynecologic function and dysfunction in transmasculine and gender-diverse individuals using testosterone therapy: a systematic review

Judith A.F. Huirne, Norah M. van Mello, Karin van der Tuuk, Wouter L J van Vugt et al.
American Journal of Obstetrics and Gynecology
Menopause: Health Impacts and Treatments
article

Gynecologic function and dysfunction in transmasculine and gender-diverse individuals using testosterone therapy: a systematic review

Judith A.F. Huirne, Norah M. van Mello, Karin van der Tuuk, Wouter L J van Vugt, E. van den Boogaard, Stephanie Both, Laura SPINNEWIJN, Baudewijntje P.C. KREUKELS
article en

Abstract

Testosterone-based gender-affirming hormone therapy has diverse effects on gynecologic function in transmasculine and gender-diverse individuals, including both physiologically expected as well as underexplored effects. Clinicians should adopt an individualized and affirming approach to care, while further research is needed to understand long-term outcomes, improve assessment tools, and close gaps in inclusive gynecologic healthcare.

American Journal of Obstetrics and Gynecology
University Medical Center Groningen (NL), Radboud University Nijmegen (NL), Radboud University Medical Center (NL), Amsterdam University Medical Centers (NL), University of Amsterdam (NL), Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Gender equality
Openalex Percentile: Top 66%
Menopause: Health Impacts and Treatments
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Gynecologic function and dysfunction in transmasculine and gender-diverse individuals using testosterone therapy: a systematic review — Judith A.F. Huirne, Norah M. van Mello, et al. · American Journal of Obstetrics and Gynecology (2026) | TGRS Research Map | TGRS