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Patterns of Fertility Discussions and Referrals for Youth at an Interdisciplinary Gender Clinic
Brian W Wakefield1, Katherine E Boguszewski2, Debbie Cheney2
1Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington.
Abstract:
We examined fertility discussion and referral practice patterns in a gender clinic serving nonmetropolitan youth. Chart review collected data on demographics, gender-related health care visits, and fertility discussions and referrals from January 2010 to December 2017, inclusive. Of 66 patients, 78.8% had at least one documented fertility discussion. Eleven patients received referrals and 2 successfully preserved gametes. Neither location of primary residence (county vs. city) nor distance driven to the clinic were significantly associated with a documented fertility discussion or referral. Most youth discussed fertility, but declined preservation. Further research on provider- and patient-specific factors affecting preservation decisions is needed.
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