Fertility Preservation for Transgender Adolescents

被引：184
作者：
Chen, Diane [1 ,2 ,3 ,4 ]
Simons, Lisa [1 ,4 ]
Johnson, Emilie K. [5 ,6 ,7 ]
Lockart, Barbara A. [8 ,9 ]
Finlayson, Courtney [4 ,10 ]
机构：
[1] Ann & Robert H Lurie Childrens Hosp Chicago, Div Adolescent Med, Dept Pediat, Chicago, IL 60611 USA
[2] Ann & Robert H Lurie Childrens Hosp Chicago, Dept Child & Adolescent Psychiat, Chicago, IL 60611 USA
[3] Northwestern Univ, Feinberg Sch Med, Dept Psychiat & Behav Sci, Chicago, IL 60611 USA
[4] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Chicago, IL 60611 USA
[5] Ann & Robert H Lurie Childrens Hosp Chicago, Div Urol, Dept Surg, Chicago, IL 60611 USA
[6] Northwestern Univ, Feinberg Sch Med, Dept Urol, Chicago, IL 60611 USA
[7] Northwestern Univ, Feinberg Sch Med, Ctr Healthcare Studies, Chicago, IL 60611 USA
[8] Ann & Robert H Lurie Childrens Hosp Chicago, Div Gen Pediat Surg, Dept Surg, Chicago, IL 60611 USA
[9] Ann & Robert H Lurie Childrens Hosp Chicago, Div Hematol Oncol & Stem Cell Transplant, Dept Pediat, Chicago, IL 60611 USA
[10] Ann & Robert H Lurie Childrens Hosp Chicago, Div Endocrinol, Dept Pediat, Chicago, IL USA
来源：
JOURNAL OF ADOLESCENT HEALTH | 2017年 / 61卷 / 01期
关键词：
Transgender adolescents; Fertility; Fertility preservation; Transgender medicine; Gamete cryopreservation; FEMALE; MORPHOLOGY;
D O I：
10.1016/j.jadohealth.2017.01.022
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
Purpose: To describe fertility preservation (FP) utilization by transgender adolescents within a pediatric gender clinic between July 2013 and July 2016. Methods: A retrospective chart review was conducted to abstract demographic and clinical information among adolescents initiating gender-affirming hormones, including patient age at initial FP consultation, birth-assigned sex, race/ethnicity, and outcome of FP consultation. Results: In our sample of 105 transgender adolescents, a total of 13 (seven transgender men and six transgender women) between the age of 14.2 and 20.6 years were seen in formal consultation for FP before initiating hormones. Of these adolescents, four completed sperm cryopreservation and one completed oocyte cryopreservation. Conclusions: Rates of FP utilization among transgender youth were low, which is consistent with a recently published report of FP utilization among transgender youth at another pediatric institution. Identified barriers to FP in our sample included cost, invasiveness of procedures, and desire not to delay medical transition. (C) 2017 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码：120 / 123
页数：4
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