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Fertility Counseling for Transgender AYAs.
Janella Hudson1, Leena Nahata2, Elizabeth Dietz3
1Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
Clinical Practice in Pediatric Psychology
|June 5, 2018
Summary
Transgender youth using cross-sex hormones may face impaired fertility. This case study examines fertility considerations during hormone therapy for transgender adolescents and young adults.
Area of Science:
- Endocrinology
- Reproductive Medicine
- Adolescent Medicine
Background:
- Transgender adolescents and young adults often pursue cross-sex hormone therapy to align their physical characteristics with their gender identity.
- The use of cross-sex hormones can have significant effects on reproductive health, potentially impacting future fertility.
- There is a need to address the complex interplay between gender-affirming care and reproductive concerns in this population.
Purpose of the Study:
- To explore the clinical decision-making process regarding fertility preservation and management in transgender adolescents and young adults undergoing cross-sex hormone therapy.
- To highlight the ethical and practical considerations involved in discussing reproductive risks and options with young transgender individuals.
- To provide insights into supporting informed choices about fertility for transgender youth.
Main Methods:
- This study presents a case exploration of clinical scenarios.
- It involves a review of current literature on cross-sex hormones and reproductive health in transgender populations.
- The approach emphasizes ethical considerations and shared decision-making.
Main Results:
- Cross-sex hormones can lead to temporary or permanent impairment of gonadal function and fertility.
- Discussions about fertility are often complex and require sensitive communication.
- Adolescent and young adult transgender individuals may have varying levels of awareness and desire for future fertility.
Conclusions:
- Clinical management of transgender youth requires careful consideration of potential impacts on future fertility.
- Integrating fertility counseling and options into routine care is crucial for informed consent and reproductive autonomy.
- Further research and clinical guidelines are needed to optimize fertility discussions and fertility preservation strategies for transgender adolescents and young adults.
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