CONCLUSION
Pelvic pain occurring after commencing testosterone GAHT is frequently
reported by trans people. The increased likelihood of reporting pain in
people with persistent menstruation, and orgasm, as well as the known
androgen-sensitivity of the pelvic floor musculature warrant further
research on pelvic floor muscle dysfunction as a
contributor.19 Until further evidence is available, a
tailored multidisciplinary trauma-informed approach addressing the needs
of the individual with pelvic pain should be provided, which may
encompass pain management, sexual function, addressing persistent
menstruation and mental health.