Should note that transfem people can and do get periods too, if they vary with their E levels a bit. It's just not the bloody kind, but you do get the muscle cramps ('cause those in cis people are also around the uterus as well) -- and the symptoms with it.
this post was submitted on 20 Aug 2025
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period cramps in cis women are due to prostaglandins causing uterine tissue to contract, which obviously isn't possible in trans women.
However, trans women on estrogen can experience cyclical PMS symptoms, so it's not totally unfair to say there is some overlap with periods that way.
I also suspect there can be bowel discomforts during the PMS that get conflated with period cramps, so that makes sense too.
Obviously trans women don't experience period cramps in the way cis women do, and don't have menstruation.