Attitudes toward fertility and reproductive health among transgender adolescents

Walton-Betancourth, Sandra; Monti, Elena; Adu-Gyamfi, Kirpal; Roberts, AM; Clarkson, Kerry; Ward, Stéphanie; Butler, Gary

doi:10.1530/endoabs.58.oc8.3

Cited by 1 publication

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“…Another hypothesised concern, namely that YP do not pursue FP because they do not want to delay/stop hormonal treatment, was supported by our results with no AMAB and only 5% AFAB indicating that they would delay/stop hormonal treatment for FP (table 2). Previous authors have hypothesised that other factors such as invasiveness of procedures in assigned females, feeling limited by existing reproductive technologies, discomfort among assigned males with masturbating also contribute to low rates of utilisation of FP techniques 9 10 18 19. Comments from YP in our study indicate that these issues are indeed barriers for some YP (box 1).…”

Section: Discussionmentioning

confidence: 67%

“…Although others have investigated perspectives on fertility among transgender YP,11 18 19 our study is the first that we are aware of to explore the ranking of having children compared with other life priorities among transgender YP. These rankings provide perhaps the most information regarding why FP techniques are rarely used by transgender YP.…”

Section: Discussionmentioning

confidence: 99%

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Perspectives on fertility preservation and parenthood among transgender youth and their parents

et al. 2019

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ObjectiveThe aim of this study was to investigate the views of young people (YP) with gender dysphoria and their parents concerning fertility preservation and reproductive and life priorities.DesignA cross-sectional questionnaire-based study assessed knowledge of potential effects of treatments for gender dysphoria on fertility, current and future life priorities and preferences regarding future fertility/parenting options among YP and parents.ResultsA total of 79 YP (81% assigned female at birth [AFAB], 19% assigned male at birth [AMAB], aged 12–18 years, 68% between ages 16 years and 18 years) and 73 parents participated. The top current life priority for YP among eight options was being in good health; the least important priority was having children. Anticipated life priorities 10 years from now were ranked similarly. Parents’ rankings paralleled the YP responses; however, parents ranked having children as a significantly higher priority for AFAB compared with AMAB YP in 10 years. The majority of YP (66% AFAB, 67% AMAB) want to be a parent in the future. However, most do not envision having a biological child. A large majority (72% AFAB, 80% AMAB) were open to adoption. None of the YP surveyed pursued fertility preservation.ConclusionFertility is a low current and future life priority for transgender YP. The majority of YP wish to become parents but are open to alternative strategies for building a family. These data may explain in part the reported low rates of fertility preservation among this population. Further studies are needed to assess if life priorities change over time.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%