Hormonal Fluctuations: Testosterone therapy can disrupt the menstrual cycle, leading to irregular bleeding, especially in the initial phases.
Atrophic Vaginitis: Prolonged testosterone use may lead to thinning and fragility of vaginal tissues, causing bleeding.
Cervical or Endometrial Polyps and Other Gynaecological Conditions: Noncancerous growths or other conditions like fibroids and infections can cause bleeding.
Endometrial Hyperplasia: This condition involves the thickening of the uterine lining and may cause bleeding.
Remedies and Management
Medical Evaluation: A comprehensive medical assessment is to determine the cause of bleeding.
Hormone Therapy Adjustment: Dosage adjustments in hormone therapy can manage bleeding. Make sure your testosterone and oestrogen levels are in the normal physiological male range.
Topical Oestrogen Therapy: For atrophic vaginitis, topical oestrogen may be used without significantly affecting overall testosterone levels.
Surgical Options: Procedures like endometrial ablation orhysterectomymay be considered in severe cases.
Lifestyle Modifications: Diet, exercise, and stress management can indirectly influence menstrual health.
Sexually Transmitted Infections (STIs): Regular screenings for STIs are important, as infections can cause vaginal bleeding. Early detection and treatment of STIs help maintain reproductive health.
Cervical Screening: Regular Pap smears are vital for individuals with a cervix to detect cervical cancer or precancerous changes. Discussions with healthcare providers about screening frequency and procedure are important.
Contraception: Hormonal contraceptives can cause irregular bleeding. It’s important to assess if contraception contributes to the bleeding. Adjustments in contraceptive methods may be necessary, depending on individual health needs.