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Do Hijra Have Periods?

Published in Transgender Health 3 mins read

The question, "Do hijra have periods?" is best understood by considering what "hijra" refers to and how it relates to menstruation. Hijra is a term used in South Asia to refer to individuals who identify as transgender or intersex. Specifically, this often refers to individuals assigned male at birth who identify as female or third gender. This answer will focus on individuals assigned male at birth who identify as women, and how hormone therapy affects their bodily functions. Given this context, the question is clarified to mean: Do trans women experience menstruation?

No, trans women do not experience typical menstrual periods.


Understanding Menstruation in Transgender Women

Menstruation is a biological process that occurs in cisgender women due to the hormonal changes that happen within a menstrual cycle. These changes include the rise and fall of estrogen and progesterone levels, which result in the shedding of the uterine lining, leading to menstrual bleeding. Trans women, who are assigned male at birth, do not have a uterus and therefore cannot experience menstruation in the same way as cisgender women.


Hormone Therapy and Potential Period-Like Symptoms

Many trans women undergo hormone replacement therapy (HRT) as part of their gender-affirming treatment. HRT typically involves taking estrogen and anti-androgens. While this can cause changes in their bodies to become more feminine, including changes in mood and emotional state, it does not induce menstruation.

The reference material provided notes that: Trans women do not experience typical menstrual periods. However, they may experience physical and emotional symptoms similar to premenstrual syndrome and premenstrual dysphoric disorder. This means that while there is no menstrual bleeding, some trans women might experience symptoms like:

  • Mood swings
  • Bloating
  • Cramping
  • Fatigue

These symptoms can be caused by fluctuations in hormone levels related to HRT, but are not the result of a menstrual cycle.


Key Differences Summarized

To further clarify, here is a comparison between cisgender women and transgender women regarding menstruation:

Characteristic Cisgender Women Transgender Women (assigned male at birth)
Presence of Uterus Yes No
Menstrual Bleeding Yes No
Cyclical Hormonal Changes Yes Potentially, due to HRT, but not as part of a menstrual cycle
PMS/PMDD-like symptoms Yes Possible


Conclusion

In conclusion, while trans women undergoing HRT may experience similar symptoms to PMS/PMDD, they do not have periods in the same way as cisgender women, as they do not have a uterus.

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