Frances Grimstad, MD, MS
Pediatric & Adolescent Gynecologist, Division of Gynecology
Associate Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School
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Frances Grimstad, MD, MS
Pediatric & Adolescent Gynecologist, Division of Gynecology
Associate Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School
Medical Services
Languages
English
Education
Undergraduate School
Sarah Lawrence College
2008
Bronxville
NY
Medical School
University of Southern California, Keck School of Medicine
2013
Los Angeles
NY
Residency
University of Kansas Medical Center
2017
Kansas City
MO
Fellowship
Children's Mercy Hospital
2019
Kansas City
MO
Graduate School
University of Missouri Kansas City
2019
Kansas City
MO
Fellowship
Gender Affirming Surgery
Cleveland Clinic
2022
Cleveland
OH
Certifications
American Board of Obstetrics and Gynecology
Professional History
Frances Grimstad (she/her) is a Pediatric and Adolescent Gynecologist at Boston Children’s Hospital and an Associate Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School. She has completed fellowships in Pediatric and Adolescent Gynecology at Children's Mercy Hospital as well as Gender Affirming Surgery at the Cleveland Clinic. At Boston Children’s she is the founder of the Reproductive Health Service and also the gynecologist in the Center for Gender Surgery and the Being-U clinic (the program for patients with intersex traits, or differences in sexual development).
Approach to Care
I believe that every individual deserves a safe clinical space to achieve their optimal gynecologic, reproductive and sexual health. Reproductive health and the decisions that surround it are deeply personal and as unique as each individual. I am passionate about providing patient centered care for the spectrum of conditions seen in gynecology.
I have a specific expertise in transgender and intersex/differences in sex development reproductive health.
My clinical and research interests center around optimizing reproductive health outcomes for both populations including hormonal and menstrual management, sexual health, surgical care, and family planning.
I have a specific expertise in transgender and intersex/differences in sex development reproductive health.
My clinical and research interests center around optimizing reproductive health outcomes for both populations including hormonal and menstrual management, sexual health, surgical care, and family planning.
Publications
Reconstructive urologists can address the care gap for adults with intersex traits. View Abstract
Gender-Affirming Hysterectomy and Oophorectomy Counseling Practices for Transmasculine Adolescents. View Abstract
Fertility Intentions and Histories Among Transgender Adults Who Started Gender-Affirming Testosterone Before Adulthood. View Abstract
Survey of Urogynecology Fellows on the Care of Patients with Differences in Sex Development/Intersex Traits. View Abstract
Qualitative Assessment of Provider Approaches to Dilation after Vaginoplasty. View Abstract
National Trends of Common Gynecologic Procedures Among Pediatric Hospitals: A National Surgical Quality Improvement Program Pediatric (NSQIP-P) Database Analysis. View Abstract
Use of Continuous Oral Drospirenone for Menstrual Suppression in Adolescents. View Abstract
Medical and Surgical Reproductive Care of Transgender and Gender Diverse Patients. View Abstract
Use of Vaginoscopy after Vaginoplasty in Individuals with Congenital Adrenal Hyperplasia. View Abstract
Approach to the Patient: Navigating Body Mass Index Requirements for Gender-Affirming Surgery. View Abstract
NASPAG Clinical Opinion: The Care of Transgender and Gender Nonbinary Adolescents and Young Adults. View Abstract
Adult endocrinologists' perspectives on transitioning adolescent patients with congenital adrenal hyperplasia. View Abstract
Management of breakthrough bleeding in transgender and gender diverse individuals on testosterone. View Abstract
Peri-surgical imaging of intersex and gender diverse youths. View Abstract
Use of the Drospirenone-Only Contraceptive Pill in Adolescents with Endometriosis. View Abstract
Overview of gender-affirming surgery. View Abstract
Incidence of breakthrough bleeding in transgender and gender-diverse individuals on long-term testosterone. View Abstract
Danazol's use for menstrual suppression in transgender individuals: A retrospective multi-site cohort study. View Abstract
How Do Prescribing Clinicians Obtain Consent to Initiate Gender-Affirming Hormones? View Abstract
Prevalence of pelvic pain in transgender individuals on testosterone. View Abstract
Preventive Practices and Knowledge of Human Papillomavirus in Mayer-Rokitansky-Küster-Hauser Syndrome Individuals. View Abstract
A randomized trial comparing perioperative pelvic FLOor physical therapy to current standard of care in transgender Women undergoing vaginoplasty for gendER affirmation: the FLOWER Trial. View Abstract
How Should Clinicians Navigate Decision Making About Genital Reconstructive Surgeries Among Intersex and Transgender Populations? View Abstract
Success in Accessing Fertility Preservation Appointments for Egg-Producing Transgender and Gender-Diverse Patients: A Mystery Caller Study. View Abstract
Retrospective review of changes in testosterone dosing and physiologic parameters in transgender and gender-diverse individuals following hysterectomy with and without oophorectomy. View Abstract
Desire for genetically related children among transgender and gender-diverse patients seeking gender-affirming hormones. View Abstract
Assessing and Addressing the Risk of Venous Thromboembolism Across the Spectrum of Gender Affirming Care: A Review. View Abstract
Retrospective Review of Sexual and Reproductive Health Conversations During Initial Visits of Adolescents Seeking Gender-Affirming Testosterone. View Abstract
Postoperative Vaginal Bleeding Concerns after Gender-Affirming Hysterectomy in Transgender Adolescents and Young Adults on Testosterone. View Abstract
Young Adult Patients with Testosterone Management Concerns after Gender-Affirming Hysterectomy and Bilateral Oophorectomy: A Case Series. View Abstract
Family Building Perspectives of Assigned Female at Birth Transgender and Gender Diverse Adolescents Seeking Testosterone Gender-Affirming Hormone Therapy. View Abstract
Prevalence of Chronic Pelvic Pain by Sexual Orientation in a Large Cohort of Young Women in the United States. View Abstract
Prevalence of Chronic Pelvic Pain by Sexual Orientation in a Large Cohort of Young Women in the United States. View Abstract
A 13-Year-Old Girl with Primary Amenorrhea. View Abstract
Vaginectomy in Transmasculine Patients: A Review of Techniques in an Emerging Field. View Abstract
Puberty and growth in patients with pediatric intestinal failure. View Abstract
Evaluating Provider Self-Disclosure in Adolescent Contraception Counseling. View Abstract
A Body-Neutral and Gender-Neutral Modified Ferriman-Gallwey Diagram. View Abstract
Unintended and teen pregnancy experiences of trans masculine people living in the United States. View Abstract
The Use of Telemedicine in Pediatric and Adolescent Gynecology. View Abstract
Clinician Advocacy and Intersex Health: A History of Intersex Health Care and the Role of the Clinician Advocate Past, Present, and Future. View Abstract
The Health Care of Adults with Differences in Sex Development or Intersex Traits Is Changing: Time to Prepare Clinicians and Health Systems. View Abstract
Vulvovaginal Involvement in Pediatric Stevens-Johnson Syndrome: A Case Series. View Abstract
Breakthrough Bleeding in Transgender and Gender Diverse Adolescents and Young Adults on Long-Term Testosterone. View Abstract
The role of androgens in clitorophallus development and possible applications to transgender patients. View Abstract
Gender-Affirming Surgeries in Transgender and Gender Diverse Adolescent and Young Adults: A Pediatric and Adolescent Gynecology Primer. View Abstract
Oxandrolone Use in Trans-Masculine Youth Appears to Increase Adult Height: Preliminary Evidence. View Abstract
Multidisciplinary approach to imaging for gender-affirming surgery: engaging surgeons, radiologists, and patients to ensure a positive imaging experience. View Abstract
A Response to Jue et al, "Kidney Transplantation in Transgender Patients". View Abstract
Routine Screening for Transgender and Gender Diverse Adults Taking Gender-Affirming Hormone Therapy: a Narrative Review. View Abstract
Spontaneous Cervicovaginal Fistula in Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Case Report. View Abstract
The gynecologic examination of the transfeminine person after penile inversion vaginoplasty. View Abstract
Survey of Experiences of Transgender and Gender Nonbinary Patients During Imaging Encounters and Opportunities for Improvement. View Abstract
Considerations for Providing Pediatric Gender-Affirmative Care During the COVID-19 Pandemic. View Abstract
Ovarian Histopathology in Transmasculine Persons on Testosterone: A Multicenter Case Series. View Abstract
Research is needed to assess breakthrough bleeding rates in transmasculine individuals utilizing hormonal contraception. View Abstract
New-Onset Abdominopelvic Pain After Initiation of Testosterone Therapy Among Trans-Masculine Persons: A Community-Based Exploratory Survey. View Abstract
Dysmenorrhea and Endometriosis in Transgender Adolescents. View Abstract
Empowering Transmasculine Youth by Enhancing Reproductive Health Counseling in the Primary Care Setting. View Abstract
How Should Decision-Sharing Roles Be Considered in Adolescent Gender Surgeries? View Abstract
Introducing a New Journal Club Feature for JPAG. View Abstract
Reply. View Abstract
From Suffrage to the Senate: Expanding Inclusion in Women's Rights to Achieve Women's Health Equality. View Abstract
Imaging Findings in Transgender Patients after Gender-affirming Surgery. View Abstract
Contraception across the transmasculine spectrum. View Abstract
Management and Prevention of Postoperative Complications in a Neonate with a Symptomatic Imperforate Hymen. View Abstract
Creating a Transgender-Inclusive Interventional Radiology Department. View Abstract
Serving the Needs of Transgender and Gender-Diverse Persons in Radiology. View Abstract
Uterine pathology in transmasculine persons on testosterone: a retrospective multicenter case series. View Abstract
An Evaluation of Reported Follicle-stimulating Hormone, Luteinizing Hormone, Estradiol, and Prolactin Reference Ranges in the United States. View Abstract
Histone demethylase KDM4A and KDM4B expression in granulosa cells from women undergoing in vitro fertilization. View Abstract
A Review of the Epigenetic Contributions to Endometriosis. View Abstract
Use of ICSI in IVF cycles in women with tubal ligation does not improve pregnancy or live birth rates. View Abstract
Immunogenetic contributions to recurrent pregnancy loss. View Abstract
Assessing Residency Program Approaches to the Transgender Health CREOG Objective. View Abstract
Periclitoral endometriosis: the dilemma of a chronic disease invading a rare location. View Abstract
Primary amenorrhea: diagnosis and management. View Abstract
Locations