城市多学科性别诊所中变性青年的计划生育偏好

IF 4.2 Q1 ENDOCRINOLOGY & METABOLISM
Ryan Conard , Lisal Folsom
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引用次数: 0

摘要

背景已知变性人在计划生育方面遇到的障碍包括低温保存利用率低和犹豫不决。越来越多的数据显示,GAHT 有导致不孕的风险,而且变性青少年对生育和计划生育选择的知情程度也越来越高。方法在 2022 年 1 月至 6 月的 6 个月期间,对在城市一家儿科内分泌门诊接受 GAHT 治疗的 41 名 10 岁及以上青少年进行了调查。调查问题为多项选择、李克特量表和开放式。参与调查者的年龄至少为 10 岁,在门诊中积极接受随访,并在登记时接受了 GAHT 治疗。有 4 人(10%)表示有兴趣与其医疗服务提供者讨论计划生育问题。18人(45%)表示愿意在未来进行讨论;16人(39%)对此完全不感兴趣。12 人(30%)计划将来为人父母,16 人(40%)尚未决定。在有意为人父母者中,有 7 人(53.8%)计划收养或寄养。他们所表达的计划生育障碍包括经济问题、暂停性别问题强化治疗的潜在需要以及变性人为人父母的社会耻辱感。20名参与者(50%)回忆起之前与他们的内分泌科医生讨论过计划生育问题。计划生育在这一人群中的优先级较低,因为尽管选择了可能影响生育的治疗方法,但大多数人仍希望推迟与医疗服务提供者的讨论。在变性青少年性别问题心理治疗期间,必须确定让变性青少年参与计划生育相关讨论的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family planning preferences in transgender youth in an urban multi-disciplinary gender clinic

Background

Known barriers to family planning in the transgender population include low utilization of cryopreservation and decisional regret. There is growing data on the risk of infertility with GAHT, and on to what degree transgender adolescents feel informed about fertility and family planning options.

Objective

Assess preferences regarding options for family planning and fertility preservation in transgender adolescents treated with GAHT in a pediatric endocrinology gender clinic. The goal is to enhance patient education about potential effects of GAHT on fertility and options for family planning.

Methods

Forty one adolescents aged 10 years and older treated with GAHT in an urban outpatient pediatric endocrinology clinic were surveyed over a 6-month period from January to June 2022. Survey questions were multiple choice, Likert scale, and open-ended. Participants were at least 10 years of age, actively followed in the clinic, and receiving GAHT at time of enrollment.

Results

Forty one participants completed the survey. Four (10 %) expressed interest in discussing family planning with their provider. Eighteen (45 %) were open to discussion in the future; 16 (39 %) were not interested at all. 12 (30 %) participants were planning for future parenthood, and 16 (40 %) participants were undecided. Of those interested in parenthood 7 (53.8 %) planned to adopt or foster. Barriers to family planning expressed included financial concerns, potential need to pause GAHT, and social stigma of transgender parenthood. Twenty (50 %) participants recalled prior family planning discussion with their endocrinologist.

Conclusion

Family planning discussions may not be optimally impactful given that 50 % of participants did not recall the conversations. Family planning is a lower priority in this population as most desired to postpone discussion with their provider despite choosing treatment that could influence fertility. It is essential to identify methods to engage transgender youth in discussions related to family planning during GAHT.

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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
24
审稿时长
16 weeks
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