Transgender men's experiences of fertility preservation: a qualitative study

Armuand, Gabriela; Dhejne, Cecilia; Olofsson, Jan I.; Rodriguez‐Wallberg, Kenny A.

doi:10.1093/humrep/dew323

Cited by 175 publications

(163 citation statements)

References 22 publications

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“…In another interview‐based survey of nine transgender persons and their partners (n = 11) who had experienced assisted reproduction services, several institutional barriers to satisfy the needs in this population, such as a lack of awareness and insufficient training of healthcare providers, were identified. Armuand et al prospectively followed 15 adult transgender men (age range 19‐35 years) undergoing oocyte preservation; the study participants reported the recrudescence of gender dysphoria upon interruption of testosterone treatment, during hormonal stimulation and/or while being exposed to pelvic examinations. The study further showed that the distress experienced by transgender persons could be alleviated in the presence of a supportive healthcare environment.…”

Section: Methodsmentioning

confidence: 99%

Fertility desires and reproductive needs of transgender people: Challenges and considerations for clinical practice

Feigerlová

Pascal²,

Ganne-Devonec³

et al. 2019

Clinical Endocrinology

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The majority of transgender and gender nonconforming persons seeking medical care are of reproductive age. Hormonal treatment and sex reassignment surgery, which are used in the management of gender dysphoria, compromise fertility potential. Children and adolescents with gender dysphoria have specific treatment regimens starting with puberty-blocking medications. According to international guidelines, fertility preservation should be discussed before any hormonal treatment, although our knowledge on the reproductive needs of transgender and gender nonconforming persons is limited. Recently, some data have emerged on fertility management in some centres for the adult population with gender dysphoria. The goal of this review was to summarize the available evidence on the fertility desires and parental roles of transgender and gender nonconforming people. In light of newly emerging societal challenges, we aim to provide some considerations for clinical practice and suggest further areas of research. K E Y W O R D S fertility desires, gender dysphoria, parentality | 11 FEIGERLOVÁ Et aL.

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Section: Methodsmentioning

confidence: 99%

Fertility desires and reproductive needs of transgender people: Challenges and considerations for clinical practice

Feigerlová

Pascal²,

Ganne-Devonec³

et al. 2019

Clinical Endocrinology

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“…Indeed, procedures required for obtaining fertility preservation (i.e. hormonal ovarian stimulation and transvaginal ultrasound that is a genitalia-speci c procedure) may be experienced by transmen as having a negative impact on their gender dysphoria [39]. These procedures may heighten feelings of dysphoria, thus challenging the break up with the transgender people's old gender identity.…”

Section: Barriers Related To Dysphoriamentioning

confidence: 99%

“…Some transgender people may use several coping strategies, 'such as focusing on the reasons for undergoing fertility preservation, reaching out to friends and family for support and the cognitive approaches of not hating their body or using non-gendered names for their body parts.' [39]. Note, however, that the negative psychological effects of FP for transgender individuals may be caused by several reasons.…”

Section: Barriers Related To Dysphoriamentioning

confidence: 99%

A Qualitative Study Examining Transgender People’s Attitudes Toward The Desire to Have Biological Children and Pursue Fertility Treatments in Greece

Voultsos

Zymvragou

Karakasi

et al. 2020

Preprint

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Abstract Background: Biomedical technologies advances permit transgender individuals not only to achieve gender transition but also experience parenthood. Little is known about it in Greece, a traditionally conservative country, which however, is changing at legal level towards greater recognition of transgender people’s rights. This study aimed to investigate transgender people’s attitudes toward the desire to have biological children and pursue fertility treatments in Greece.Methods: This is a prospective study among adult individuals who identified as transgender men or transgender women between April 2019 and March 2020. Individual in-depth qualitative interviews were conducted with twelve participants. The interviews were conducted in person and were digitally recorded and transcribed verbatim. The authors performed an inductive analysis of data.Results: The inductive analysis of the study findings resulted in the following themes that represent key barriers to pursuing FP or ART: lack of fertility counseling, fears of discrimination and bullying, high costs, concerns related to the child’s welfare, less than perfect legal framework, and gender transition. Not all participants expressed strong desire to have offspring. A number of sub-themes were grouped under the base themes. Concerns related to the child’s welfare due to factors related to context or transgender people themselves. Fertility treatment may impact negatively the process of transition or the result of it. The strength of the desire for fertility treatment is crucial. Various reasons behind the transgender people’s desire for parenthood were identified. Transgender individuals (especially those in social transition) showed striking adherence to patterns of the dominant culture when it comes to having children.Conclusion: The results demonstrate the importance of a) contextual factors (stigma, economic instability, law), b) factors related to transgender people themselves (gender dysphoria, desire to become parents, self-trust), as well as c) the preferred type of gender transition (social or medical) in considering or pursuing fertility preservation or assisted reproductive technologies. Transgender people’s attitude towards having children is a complex topic in need for further investigation. We stress the need for training health professionals to establish a safe environment for transgender people who want to undergo fertility treatment, go through pregnancy and give birth.

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“…Some transgender men who temporarily discontinued testosterone to pursue fertility preservation experienced worsening gender dysphoria with resumption of menses, whereas others felt the experience was less distressing than anticipated. 65 In previously studied samples of transgender adults, 38% of transgender men 59 and 51% of transgender women 60 indicated they would have considered gamete (ie, sperm or egg) cryopreservation if this technology had existed and been offered to them. Among transgender women, identifying as lesbian or bisexual and younger age are associated with greater likelihood of considering sperm cryopreservation.…”

Section: February 2019mentioning

confidence: 99%

Understudied and Under-Reported: Fertility Issues in Transgender Youth—A Narrative Review

Nahata

Chen

Moravek

et al. 2019

The Journal of Pediatrics

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Transgender men's experiences of fertility preservation: a qualitative study

Abstract: N/A.

Cited by 175 publications

References 22 publications

Fertility desires and reproductive needs of transgender people: Challenges and considerations for clinical practice

Fertility desires and reproductive needs of transgender people: Challenges and considerations for clinical practice

A Qualitative Study Examining Transgender People’s Attitudes Toward The Desire to Have Biological Children and Pursue Fertility Treatments in Greece

Understudied and Under-Reported: Fertility Issues in Transgender Youth—A Narrative Review

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