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跨性别人士对以前生育决策和当前不孕症的看法:一项定性研究
J D Asseler1,2,3, I de Nie1,2,3,4, F B van Rooij5
1Department of Obstetrics and Gynaecology, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Human reproduction (Oxford, England)
|July 15, 2024
概括
变性人优先考虑确认性别的护理,而不是生育,当绝育是强制性的. 今天大多数人都会做出同样的选择,尽管有些人因不孕而经历了情感上的挑战.
科学领域:
- 生殖健康 生殖健康
- 性别研究是性别研究.
- 心理学 心理学 心理学
背景情况:
- 直到2014年,荷兰法律强制要求对合法性别认可进行绝育,导致跨性别青少年的不可逆转不孕.
- 这种阴性不孕症对成年跨性别和性别多样性 (TGD) 个体的长期心理影响尚不清楚.
研究的目的:
- 探索由于过去的性别确认治疗而不育的成年TGD个体如何感知他们目前的不育.
- 了解他们在强制性法律环境下青春期做出的生殖决定.
主要方法:
- 一项定性研究涉及21个深入的半结构面试,与成年TGD个体.
- 参与者在2014年之前接受过性别确认治疗,并且属于计划生育相关的年龄组.
- 对采访成绩单的专题分析是使用修改版的布劳恩和克拉克的六步理论进行的.
主要成果:
- 六个主题出现了,涵盖了生育,决策,应对不孕不育和未来家庭建设的过去和现在的考虑.
- 参与者普遍肯定了他们过去的选择,优先考虑性别肯定而不是生育能力的保护.
- 尽管与不孕不育有关的一些情感困难,但大多数人表示他们今天也会做出同样的决定.
结论:
- 成年TGD个体在很大程度上坚持他们青少年决定优先考虑性别肯定而不是生育保护的决定,即使目前的不孕不育.
- 这些发现强调了对接受性别确认护理的青少年进行生育保护选择的全面,定制咨询的急需.
- 改善的支持和信息对于TGD个体导航生殖健康决策和潜在的不孕症至关重要.
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