跨性别和性别多元人口的生殖考虑:一项审查
Michele B Glodowski1, Carlos M Parra2, Madeline K Xin3
1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, New York University Langone Health, 111 Broadway, 2nd Floor, New York, NY 10006, USA.
Endocrinology and metabolism clinics of North America
|July 31, 2024
概括
性别确认治疗可以影响跨性别和性别多样性个体的生育能力. 在开始治疗之前,应该讨论诸如卵细胞,胚胎和精子冷保存等生育保存选项.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 确认性别的护理
- 医学伦理 医学伦理
背景情况:
- 变性人和性别多样性 (TGD) 个体通常需要医学上必要的性别确认治疗.
- 这些治疗方法可能会对生殖潜力和生育能力产生负面影响.
- 生育辅导对于生育年龄的TGD个体至关重要.
研究的目的:
- 对跨性别者和性别多样性个体的现有生育保护选择进行审查.
- 突出性别肯定治疗对生殖健康的影响.
- 确定TGD生殖保健领域的知识差距和未来研究领域.
主要方法:
- 关于生殖技术和TGD个体的结果的文献综述.
- 分析当前关于保护生育能力的指南和建议.
- 综合了关于生殖细胞和生殖组织冷保存技术的数据.
主要成果:
- 青春期后的TGD个体可以利用成熟的卵细胞,胚胎和精子的冷保存.
- 青春期前TGD患者可以考虑卵巢组织的冷保存;丸组织的冷保存是实验性的.
- 尽管技术进步,但在TGD生殖健康方面仍然存在重大知识差距.
结论:
- 对所有考虑性别确认护理的TGD个人来说,全面的生育咨询是必不可少的.
- 已建立的冷保存方法为许多TGD个体提供了可行的生育保存选择.
- 需要进一步的研究来推进TGD人群的生殖健康保健选择.
相关概念视频
Overview of the Reproductive System
1.1K
The reproductive system generates offspring, ensuring the survival of the species. In humans, the reproductive system is complex and involves a variety of organs and hormones that work together to ensure successful reproduction.
The gonads, or primary reproductive organs, produce gametes and sex hormones. In males, the testes produce spermatozoa and testosterone, which is responsible for developing secondary male sex characteristics, including a deeper voice, larger muscles, facial and body...
The gonads, or primary reproductive organs, produce gametes and sex hormones. In males, the testes produce spermatozoa and testosterone, which is responsible for developing secondary male sex characteristics, including a deeper voice, larger muscles, facial and body...
1.1K
Gonadal and Placental Hormones
1.4K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
1.4K
Spermatogenesis
102.3K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.3K
Infertility in Males
256
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
256
Tissue Transplantation
352
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
352
Criticisms of the Evolutionary Perspective
92
In a study where individuals posing as strangers offered compliments and proposed casual sex to students, the responses differed significantly based on gender. Not a single woman accepted the proposal, while 70% of the men agreed. This outcome provides a useful scenario to explore through the lens of evolutionary psychology and social learning theory, highlighting the diverse perspectives on human sexual behaviors.
Evolutionary psychology provides one explanation for these findings, suggesting...
Evolutionary psychology provides one explanation for these findings, suggesting...
92


