Pelvic Pain in the Transgender Man


Purpose of Review

The purpose of this review is to update readers on the multifactorial nature of pelvic pain with specific considerations for the female to male (FtM) transgender patient.

Recent Findings

Secondary effects of testosterone therapy include both genital and musculoskeletal changes that may contribute to the development of pelvic pain. Hysterectomy is therapeutic for gender affirmation and underlying pain conditions. Postsurgical pain from further pelvic reconstruction may be the result of the reconstruction itself, surgical scarring, or prostheses.


Pelvic pain is a common condition with many contributing factors. For the FtM patient, pelvic pain may be present at any point in the transition process. Pain conditions may be pre-existing or occur as a result of medical or surgical treatment of gender dysphoria. Research is needed on sex hormone-specific influences on the development of pelvic pain and mitigation strategies for treatment-specific development of pelvic pain in the transgender population.

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Correspondence to Janelle K. Moulder.

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Conflict of Interest

Dr. Moulder reports personal fees from Hologic, outside the submitted work.

Dr. Carrillo reports personal fees from Abbvie, outside the submitted work.

Dr. Carey reports personal fees from Teleflex, personal fees from Med IQ, personal fees from MT ACOG, personal fees and other from Medical Expert in Surgery Litigation, outside the submitted work.

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Moulder, J.K., Carrillo, J. & Carey, E.T. Pelvic Pain in the Transgender Man. Curr Obstet Gynecol Rep (2020).

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  • Pelvic pain
  • Transgender man
  • Gender affirmation
  • Testosterone
  • Myofascial pain