Fertility in Individuals with Differences in Sex Development: Provider Knowledge Assessment

Finlayson, Courtney; Johnson, Emilie K.; Chen, Diane; Fechner, Patricia Y.; Hirsch, Josephine; Rosoklija, Ilina; Schafer-Kalkhoff, Tara; Shnorhavorian, Margarett; Gómez-Lobo, Veronica

doi:10.1016/j.jpag.2022.02.004

Cited by 2 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regulations for fertility preservation as well as costs are highly variable in different countries, resulting in huge disparities in access to fertility preservation and effective treatment for infertility [24]. A recent survey amongst DSD specialists revealed knowledge gaps of fertility potential even among experts, resulting in insufficient counselling about fertility potential and a desire for better education with regard to fertility preservation and counselling [25]. "…”

Section: Fertilitymentioning

confidence: 99%

Challenges Waiting for an Adult with DSD

Nowotny¹,

Reisch²

2022

Horm Res Paediatr

View full text Add to dashboard Cite

Disorders/differences of sex development (DSD) comprise a heterogeneous group of inborn conditions where the individual’s sex chromosomes, gonads and/or anatomical sex are discordant. Since the Chicago consensus conference in 2005, multidisciplinary care has been implemented in specialised pediatric tertiary care centres and clinical practice has substantially changed towards a more holistic approach. Psychological support has become a key factor in the management of DSD. After pediatric care, one of the main challenges is the transition of patients to expert care in adulthood. Patients frequently experience difficulties in accessing specialised medical care in adulthood resulting in loss-to-follow-up affecting the patients’ physical and psychological health as well as quality of life. Clinical features and long-term outcome are highly variable in most DSD conditions. Although medical care has improved, morbidity and mortality are increased in all conditions. A particular challenge in the care of DSD patients in adulthood is optimisation of fertility potential. Ideally this is addressed already in adolescence and requires close interaction of pediatricians and adult endocrinologists but also urologists, andrologists or gynecologists and psychologists. This review addresses issues relating to transition of DSD care from the pediatric to adult care as well as health-related challenges in adulthood in DSD.

show abstract

Section: Fertilitymentioning

confidence: 99%