Trans women, who are individuals assigned male at birth but identify as female, cannot menstruate in the biological sense. Menstruation is a process that occurs in individuals with a uterus, and since trans women do not have a uterus, they do not experience menstrual cycles.
However, some trans women may experience symptoms similar to menstruation due to hormone replacement therapy (HRT), which often involves taking estrogen and anti-androgens to develop more feminine physical traits. These hormones can cause changes in the body, such as mood swings, breast tenderness, and other sensations, which might be comparable to some of the physical or emotional effects some cisgender women experience during their menstrual cycle.
That being said, these sensations are not part of an actual menstrual cycle, as there is no uterine lining to shed. It’s important to understand that while trans women can experience some symptoms related to hormonal changes, menstruation itself is a function tied to biological processes specific to cisgender women with a uterus.
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