Evidence map›Paper›PMID 32703706›Full record

ArticleThe journal of sexual medicine2020

Ovarian Histopathology in Transmasculine Persons on Testosterone: A Multicenter Case Series.

Frances W Grimstad, Kylie G Fowler, Erika P New, Cecile A Ferrando, Robert R Pollard, Graham Chapman, Meredith Gray, Veronica Gomez Lobo

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The journal of sexual medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Review
  5. Observational
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  7. iScience · 2025
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  9. Article
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  13. Article
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  17. Fertility preservation options for transgender and nonbinary individuals.Therapeutic advances in endocrinology and metabolism · 2023
    Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 1 country.

Frances W GrimstadDivision of Gynecology, Department of Surgery, Boston Children's Hospital, Boston, MA, USA. Electronic address: frances.grimstad@childrens.harvard.edu.
Kylie G FowlerDepartment of Pediatric and Adolescent Gynecology, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN, USA.
Erika P NewDepartment of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Cecile A FerrandoCenter for Urogynecology and Pelvic Reconstructive Surgery, Center for LGBT Care, Cleveland Clinic, Cleveland, OH, USA.
Robert R PollardDepartment of Obstetrics and Gynecology, University Hospitals Cleveland Medical Center/MetroHealth Medical Center, Cleveland, OH, USA.
Graham ChapmanDepartment of Obstetrics and Gynecology, University Hospitals Cleveland Medical Center/MetroHealth Medical Center, Cleveland, OH, USA.
Meredith GrayDepartment of Obstetrics and Gynecology, University of Kansas Medical Center, Kansas City, KS, USA.
Veronica Gomez LoboDepartment of Pediatric and Adolescent Gynecology, National Institute for Child Health and Human Development, Bethesda, MA, USA.
Boston Children's Hospital · USChildren's Minnesota · USCleveland Clinic · USInstitute for Female Pelvic Medicine and Reconstructive Surgery · USMetroHealth · USOffice of Adolescent Health · USUniversity of Kansas Medical Center · USUniversity of Tampa · US

Funding

Pediatric and Adolescent Gynecology Training ProgramZIAHD008985 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GOMEZ-LOBO, VERONICA · 2019 to 2021
$5.3M
Intramural NIH HHS ZIA HD008985
6 · The paper itself

Abstract

backgroundAs transmasculine persons utilize androgen gender affirming hormone therapy as a part of transition, guidance has been lacking on the effects of the therapy on the ovaries, especially for those who may desire retention.

aimTo describe the ovarian histopathology of transmasculine persons on testosterone therapy following oophorectomy at the time of hysterectomy performed for gender affirmation.

methodsThis was a multicenter case series study of transmasculine patients on testosterone therapy who underwent hysterectomy with oophorectomy for gender affirmation between January 2015 and December 2017 at 5 tertiary care referral centers. Patients were identified by their current procedural and International Classification of Diseases codes. OUTCOMES: Pre-, perioperative, and pathologic data were obtained from the electronic medical records and ovarian tissue descriptions from pathology reports were grouped into the following classifications: (i) simple/follicular cysts; (ii) polycystic ovaries; (iii) complex cysts; (iv) endometriomas; (v) other masses; (vi) atrophy; and (vii) normal.

results85 patients were included in the study. At the time of oophorectomy, the mean age and body mass index of the cohort were 30.4 ± 8.4 years and 30.2 ± 7.3 kg/m CLINICAL IMPLICATIONS: The results of this study reported benign histopathology in ovaries of a large cohort of transmasculine persons on testosterone which should be included when counseling patients on ovarian retention, as transmasculine patients may choose to retain their ovaries while on testosterone for a variety of reasons (including no desire to undergo surgery, desire for backup sex steroids, and potential use for future fertility). STRENGTHS & LIMITATIONS: This is a large multicenter study seeking to address the uncertainty in present counseling surrounding ovarian conservation in transmasculine persons on testosterone therapy. Its limitations included its retrospective nature and inability to address ovarian function after testosterone discontinuance.

conclusionIn this cohort of transmasculine patients on testosterone therapy undergoing hysterectomy with oophorectomy for gender affirmation, ovarian histopathology was benign in all the specimens. Grimstad FW, Fowler KG, New EP, et al. Ovarian Histopathology in Transmasculine Persons on Testosterone: A Multicenter Case Series. J Sex Med 2020;17:1807-1818.

Indexed as

TestosteroneTransgender PersonsAdultAndrogensFemaleHumansMaleOvaryRetrospective StudiesYoung AdultAndrogensTestosteroneFemale to MaleFertilityOvarian HistologyOvarian PathologyPolycystic OvariesTestosteroneTransgender ManTransmaleTransmasculine

Identifiers

PMID32703706
PMCPMC8612074
OpenAlexW3044796193

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.