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Maternal Health in the Transgender Population.

Sajal Patel1, Lori B Sweeney2

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Summary
This summary is machine-generated.

Transgender and gender nonconforming (TGNC) individuals face healthcare disparities, particularly concerning fertility and reproductive health. Addressing these requires inclusive preconception care and mental health support alongside fertility preservation and reproductive technologies.

Keywords:
fertilityreproductivetransgender

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Area of Science:

  • Reproductive Endocrinology
  • Gender-Affirming Care
  • Health Disparities

Background:

  • Increasing social acceptance and legal protections for transgender and gender nonconforming (TGNC) individuals.
  • Persistent healthcare disparities remain, notably in reproductive health services for TGNC patients.
  • Optimal care necessitates a safe and welcoming environment for discussing fertility, contraception, pregnancy, and lactation.

Purpose of the Study:

  • To highlight disparities in reproductive health services for TGNC patients.
  • To outline essential components of preconception education for TGNC individuals.
  • To emphasize the need for comprehensive care addressing medical and mental health aspects.

Main Methods:

  • Review of current literature on fertility preservation and reproductive technologies for TGNC patients.
  • Discussion of the impact of gender-affirming therapies on fertility.
  • Consideration of psychological effects of medical interventions on TGNC individuals.

Main Results:

  • Preconception education should cover gender-affirming therapy effects on fertility and available preservation techniques.
  • Gamete retrieval may necessitate natal hormone stimulation, potentially exacerbating gender dysphoria, requiring careful medical and mental health monitoring.
  • Protocols exist for assisted reproductive technologies, lactation induction, and discontinuation.

Conclusions:

  • A multidisciplinary team approach is crucial for ensuring the safety and well-being of TGNC patients.
  • Limited data on long-term outcomes necessitates cautious and individualized care.
  • Addressing reproductive health needs is vital for improving overall health outcomes for TGNC individuals.