对跨性别和性别多元患者的生育护理的性别确认方法
William J Powers1, Dustin Costescu1, Carys Massarella1
1Powers Family Medicine, Farmington Hills, Michigan; and McMaster University, Hamilton, and the University of Ottawa, Ottawa, Ontario, Canada.
O&G open
|September 26, 2025
概括
寻求成为父母的跨性别者和性别多元的人因成本和意识差距而面临难以获得生育护理的挑战. 在性别确认治疗前进行全面的咨询对于明智的生殖健康决策至关重要.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 确认性别的护理
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 许多跨性别和性别多元 (TGD) 个人希望成为父母,但生育护理的机会有限.
- 障碍包括财务成本,提供者偏见和患者对生育结果的误解.
- 性别肯定激素治疗可能会对生育产生负面影响,这强调了及时保持生育的必要性.
研究的目的:
- 总结TGD患者可用的生育护理选择.
- 为最佳的生育咨询和护理提供提供临床建议.
- 强调在性别确认治疗之前,关于生殖健康的知情决策的重要性.
主要方法:
- 审查当前的生育保护,恢复和辅助生殖选择.
- 关于TGD患者生育咨询的最佳实践的临床意见综合.
- 在TGD人口中对生育护理采用障碍的分析.
主要成果:
- 在TGD个体中,生育护理的采用率很低.
- 有限的指导方针和研究存在于TGD患者的生育选择.
- 整体咨询对于解决风险,成本和患者偏好至关重要.
结论:
- 医疗保健专业人员必须在性别确认治疗之前为TGD患者提供全面的生育咨询.
- 解决财务成本,偏见和患者意识是改善获得生育护理的关键.
- 有信息的决策使TGD个体能够有效地管理他们的生殖健康.
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