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Uterine bleeding can be a source of distress in those for whom their gender identity is incongruent. Testosterone For those adolescents who have met criteria for gender-affirming hormone use, testosterone T is typically highly effective for induction and maintenance of amenorrhea within 6 months of its initiation, although may be effective as early as 1 month. Oxford University Press,pp. It is thought that the uterus is prompted by certain hormones to squeeze harder than necessary to dislodge its lining. On this page: Testosterone acts directly on the endometrium, causing both endometrial and vaginal atrophy as shown by examination of the endometria of transmen who had been on androgen therapy for at least 6 months.

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Novel delivery systems in contraception.

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Using tampons has been associated with an increased risk of a rare illness called toxic shock syndrome TSS. The growth of the follicles stimulates the lining of the uterus to thicken in preparation for possible pregnancy. Your medication will be adjusted if needed.

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With any of the progestogens, irregular and unpredictable bleeding is relatively common and may lead to discontinuation of the agent, particularly in the first few months of treatment.

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