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. 2023 Apr 3;10(3):179–190. doi: 10.1089/lgbt.2022.0187

Table 3.

Treatments for Pelvic Pain in People Using Testosterone

Characteristic N %
Types of treatment reported as helpful (N = 351)a
 Pain killers 199 56.7
 Heat 160 45.6
 Testosterone therapy 77 21.9
 Other (e.g., massage, progesterone implant, IUD) 63 17.9
 Cannabis 40 11.4
 Exercise 39 11.1
 Unsure/prefer not to say 22 6.3
 Estrogen containing vaginal cream or pessary 16 4.6
 Progesterone tablet 9 2.6
 Danazol tablets 0 0.0
 GnRH agonists 0 0.0
Types of painkillers reported as helpful (N = 351)a
 Nonsteroidal anti-inflammatory drugs (Ibuprofen, Diclofenac and Aspirin) 163 46.4
 Paracetamol 108 30.8
 Combination of paracetamol and Ibuprofen 47 13.4
 Morphine 34 9.7
 Tramadol 10 2.8
Types of treatment reported as unhelpful (N = 351)a
 Pain killers 64 18.2
 Exercise 61 17.4
 Unsure/prefer not to say 52 14.8
 Heat 48 13.7
 Testosterone therapy 32 9.1
 Progesterone tablet 21 6.0
 Other (e.g., progesterone implant, IUD) 16 4.6
 Estrogen-containing vaginal cream or pessary 12 3.4
 Cannabis 12 3.4
 GnRH agonists 2 0.6
 Danazol tablets 1 0.3
Impact of hysterectomy on pain (N = 25)*
 (0 to 29) Pain is worse since hysterectomy 2 8.0
 (30 to 69) Pain is about the same 5 20.0
 (70 to 100) Pain is better since hysterectomy 18 72.0
Reasons for hysterectomy (N = 26)a
 Pelvic pain 16 61.5
 Gender dysphoria 12 46.2
 Ongoing bleeding 5 19.2
 Other (e.g., cancer diagnosis, phalloplasty, endometriosis) 11 42.3
Impact of oophorectomy on pain (N = 21)
 (score 0 to 29) Pain is worse since oophorectomy 3 14.3
 (score 30 to 69) Pain is about the same 4 19.0
 (score 70 to 100) Pain is better since oophorectomy 14 66.7
a

Multiple responses allowed for this question so total responses do not sum to 100%.

IUD, intrauterine device.