Fertility preservation (FP) referral and follow-up in male-to-female (MTF) and female-to-male (FTM) transgender patients

Schelble, Allison P.; Fisher, Alice; Jungheim, Emily S.; Lewis, Christopher B.; Omurtag, Kenan

doi:10.1016/j.fertnstert.2017.07.354

Cited by 5 publications

(2 citation statements)

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“…In line with earlier research (25,(33)(34)(35)(36)(37)(38), the current study also shows low fertility preservation use in AFAB transgender people (9.0%). Older studies (18,25,31) report that 25.9%-37.5% of TM would have proceeded with fertility preservation if it would have been possible at that time, which is in line with the number of people who froze/ considered freezing reproductive cells in the current study.…”

Section: Fertility Preservationsupporting

confidence: 92%

Parental desire and fertility preservation in assigned female at birth transgender people living in Belgium

Defreyne

Schuylenbergh

Motmans

et al. 2020

Fertility and Sterility

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Objective: To study the considerations and concerns of transgender people regarding fertility preservation and parental desire in a large, nonclinical sample. Gender-affirming care can reduce fertility. Previous research on fertility in transgender people (mainly focused on people visiting health care professionals) shows low fertility preservation use. Design: A web-based survey on fertility and parenthood. Setting: Not applicable. Patient(s): Transgender people assigned female at birth (AFAB) were selected for this analysis (n ¼ 172 or 40.4% of the total sample) of which 116 (67.4%) self-identified as transgender men (TM) and 56 (32.6%) as gender nonbinary (GNB) people. Intervention(s): Not applicable. Main Outcome Measure(s): Data on parental desire and fertility preservation were assessed in a large, nonclinical sample of AFAB transgender people. Result(s): Sixty-seven (39.0%) respondents had a current/future parental desire. Parental desire rates did not differ between TM and GNB persons. Barriers for fulfilling the parental desire (multiple response) included assumed difficulties in the adoption procedure (41.3%), fear of discrimination against the child (38.0%) or being discriminated against as a transgender parent (32.6%), and the cost for using personal genetic material (32.6%). Nine percent had cryopreserved reproductive cells or tissue. Conclusion(s):Even though parental desire rates in this cohort are in line with earlier research, fertility preservation use was lower in the current study. These numbers reflect the barriers transgender people face when considering fertility options, including cost and the need to postpone hormone therapy. In addition, GNB persons have different needs for gender-affirming treatment and subsequently for fertility preservation. (Fertil Steril Ò 2020;113:149-57. Ó2019 by American Society for Reproductive Medicine.) El resumen está disponible en Español al final del artículo.

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Section: Fertility Preservationsupporting

confidence: 92%

Parental desire and fertility preservation in assigned female at birth transgender people living in Belgium

Defreyne

Schuylenbergh

Motmans

et al. 2020

Fertility and Sterility

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“…Nevertheless, recent studies suggest minimal levels of FP utilization in transgender youth [20,21] which is concerning given the research suggesting some of these individuals may desire genetic children as adults [15,22]. In one study of pediatric patients, 54% of transgender girls and 40% of transgender boys had no documented FP counseling upon chart review [23]. In another retrospective chart review of transgender youth presenting for GAH treatment, documented reasons for FP refusal included patient plans to adopt, disinterest in having children, expense, discomfort with masturbation, and concern about GAH initiation delay [20].…”

Section: Introductionmentioning

confidence: 99%

Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey

Tishelman

Sutter

Chen

et al. 2019

J Assist Reprod Genet

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Purpose To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients. Methods Participants were medical and mental health professionals who treat adult and youth transgender patients. Recruitment occurred online and in person, via professional listservs for transgender professionals, conferences, and gender clinics. From August-November 2017, 110 participants representing nine countries responded to four open-ended questions included on a survey related to provider practice behaviors and perceived barriers to fertility counseling, fertility preservation, and family building with transgender patients. Thematic coding analysis was used to identify themes. Results Multiple themes were identified including the following: access and cost issues; urgency for gender-affirming treatment; patient maturity and inability to make future-oriented decisions; and provider-related challenges pertaining to knowledge, role, and general lack of information in the nascent field of transgender reproductive health. Conclusion(s) This study yielded insights into practice behaviors, challenges, and perceived barriers to fertility counseling with transgender individuals and can serve as a basis for intervention development to optimize clinical practices with this population.

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Surgical Anatomy: Orchiectomy and Fertility Preservation Options

Owyong

Ramasamy

2021

Urological Care for the Transgender Patient

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Fertility preservation (FP) referral and follow-up in male-to-female (MTF) and female-to-male (FTM) transgender patients

Cited by 5 publications

References 0 publications

Parental desire and fertility preservation in assigned female at birth transgender people living in Belgium

Parental desire and fertility preservation in assigned female at birth transgender people living in Belgium

Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey

Surgical Anatomy: Orchiectomy and Fertility Preservation Options

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