Tessa H R Stolk, Emmy van den Boogaard, Nicky M A van Riet, Baudewijntje P C Kreukels, Judith A F Huirne, Joyce D Asseler, Norah M van Mello
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引用次数: 0
Abstract
Background: It is recommended that transgender and gender diverse people receive fertility counselling before the start of gender affirming treatment. During this consultation their reproductive wishes and options for fertility preservation are explored. Transmasculine people have various options to fulfil their reproductive wishes also during gender-affirming treatment. Our aim is to study reproductive wishes and fertility preservation outcome in transmasculine people over time.
Methods: Transmasculine individuals at the Centre of Expertise on Gender Dysphoria (CEGD) in Amsterdam were included in a prospective follow-up cohort study for gynaecological care and received follow-up questionnaires after 6, 12 and 24 months after fertility counselling regarding their reproductive wishes and fertility preservation. Reproductive outcomes were collected from the patient's medical files.
Results: In total, 317 had a fertility consultation at the CEGD, of whom 10% underwent oocyte cryopreservation, 4% cortex preservation, 1% carried a pregnancy, and 12% underwent an ovariectomy. The most common reproductive choices are opting to preserve their internal organs and no fertility preservation wish. During a 2-year follow-up period, reproductive wishes changed in 20% of the participants. This was not related to age, testosterone use or prior puberty suppression. However, there was a trend suggesting that younger age and prior puberty suppression were related to changes in reproductive wishes.
Conclusion: This study showed reproductive wishes of transmasculine individuals over time. Further research is necessary to follow the reproductive outcomes of oocyte cryopreservation, cortex preservation and pregnancy. As well as, factors that influence their future pathway to parenthood.
期刊介绍：
The Journal of Reproductive and Infant Psychology reports and reviews outstanding research on psychological, behavioural, medical and social aspects of human reproduction, pregnancy and infancy. Medical topics focus on obstetrics and gynaecology, paediatrics and psychiatry. The growing work in relevant aspects of medical communication and medical sociology are also covered. Relevant psychological work includes developmental psychology, clinical psychology, social psychology, behavioural medicine, psychology of women and health psychology. Research into psychological aspects of midwifery, health visiting and nursing is central to the interests of the Journal. The Journal is of special value to those concerned with interdisciplinary issues. As a result, the Journal is of particular interest to those concerned with fundamental processes in behaviour and to issues of health promotion and service organization.
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