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Reproductive wish in transsexual men
Katrien Wierckx1, Eva Van Caenegem, Guido Pennings
1Department of Endocrinology, University Hospital Ghent, De Pintelaan 185, Ghent 9000, Belgium. katrien.wierckx@ugent.be
Most transsexual men desire to have children. Discussions about reproductive options and germ cell preservation should be integrated into the transition process for female-to-male individuals.
Area of Science:
- Reproductive medicine
- Gender-affirming care
- Transgender health
Background:
- Hormonal therapy and sex reassignment surgery (SRS) cause irreversible loss of reproductive potential in transsexual individuals.
- Emerging technologies may enable female-to-male transsexual individuals (transsexual men) to have genetically related children.
- Limited information exists regarding the reproductive desires of transsexual men post-SRS.
Purpose of the Study:
- To investigate the reproductive wishes of transsexual men after undergoing sex reassignment surgery (SRS).
- To understand the desire for genetic parenthood among transsexual men.
Main Methods:
- A self-constructed questionnaire was administered to 50 transsexual men in a single-center study.
- Data collected included current relationship status, parental status, and desire for future children.
- Inquiry into past consideration of germ cell preservation techniques.
Main Results:
- Over half of participants (54%) desired to have children.
- Participants without existing children expressed a greater desire for future children (P=0.006).
- 37.5% had considered germ cell freezing if it had been available previously.
Conclusions:
- A significant majority of transsexual men express a desire for biological children.
- Reproductive health discussions, including germ cell preservation, are crucial during the transition process.
- Healthcare providers should address the implications for genetic parenthood during transition planning.
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