ABSTRACT Advances in kidney transplantation have transformed survival and quality of life for women with end‐stage renal disease, necessitating a focus on long‐term health care for this population. Female kidney transplant recipients (KTR) experience a unique spectrum of gynecologic issues shaped by persistent hormonal dysregulation, lifelong immunosuppression, and complex surgical history. These factors contribute to increased rates of abnormal uterine bleeding, endometrial hyperplasia, and early menopause. Furthermore, common conditions such as fibroids, endometriosis, pelvic pain, and pelvic organ prolapse have unique challenges in diagnosis and management. Preventative care also requires attention, with unique cancer screening recommendations, nuanced contraception and hormonal therapy decisions, and consideration for osteoporosis prevention. Current evidence in many of these areas remains limited, highlighting the need for further research. Overall, multidisciplinary collaboration among transplant specialists, gynecologists, and primary care providers is essential to optimize reproductive health across the lifespan and optimize transplant outcomes in this growing population. Social Media: Kidney transplant recipients experience a unique spectrum of gynecologic issues and require special considerations during diagnosis and treatment.
Graham et al. (2026) studied this question.