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Menopause is a vulnerable time, that can mean “saying goodbye to your reproductive self,” said Dr. Catherine Monk, and that reminder could, for example, bring on memories of prior assault.

Dr. Madelyn Gould hopes that the new hotline will encourage more people to call before they start feeling suicidal.

"We've known that there's a strong association between gender minority stress and poor health outcomes," Dr. William Byne said. "This just makes it a little bit more concrete."