为跨性别社区实现生育保护
Suset Rodriguez1, Pasquale Patrizio1
1University of Miami Miller School of Medicine, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics, Gynecology and Reproductive Sciences, Miami, FL, USA.
Best practice & research. Clinical obstetrics & gynaecology
|August 2, 2025
概括
考虑接受性别确认护理的跨性别者应在治疗前讨论生育保护选择. 这确保了关于保护生殖潜力的知情选择,包括精子,卵子和胚胎冷保存.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 跨性别者健康 跨性别者健康
- 医学伦理 医学伦理
背景情况:
- 性别确认激素治疗 (GAHT) 和手术 (GAS) 可以影响跨性别者的生育能力.
- 性别障碍症可能会使生育保护 (FP) 讨论和过程复杂化.
- 目前的指导方针建议对跨性别患者的FP选择进行咨询.
研究的目的:
- 探索跨性别人士的生育保护选择.
- 解决阻碍利用生育保护服务的挑战.
- 为跨性别患者提供关于冷保存方法的全面信息.
主要方法:
- 审查当前的医疗保健指南 (ASRM,WPATH,内分泌学会).
- 探索生育保存技术:卵细胞,精子和胚胎的冷保存.
- 分析影响跨性别个人获得和利用FP的挑战.
主要成果:
- FP选项包括卵细胞,精子和胚胎冷保存.
- 关键的挑战包括性别障碍症的心理影响,治疗停止时间,财务成本和有限的结果数据.
- 准则建议积极主动的FP咨询.
结论:
- 对于经历GAHT/GAS的跨性别个人来说,生育能力的保护是非常重要的考虑因素.
- 解决实际和心理障碍对于改善FP利用至关重要.
- 需要进一步研究FP后的长期生殖结果.
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