Ethical considerations in fertility preservation for transgender youth: A case illustration

Diane Chen*, Lisa Simons

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Increasing numbers of transgender adolescents are presenting for transition-related medical care, including gender-Affirming estrogen and testosterone. The decision to transition with hormones has long-Term implications, including possible irreversible impairment of future reproductive functioning. The commentary by Hudson, Nahata, Dietz, and Quinn (2018) outlines the importance of fertility counseling for transgender adolescents and young adults as ethical, interdisciplinary practice. Key considerations raised include implementing shared decision-making strategies that account for youths' maturity and individual decisional capacity, evaluating co-occurring psychiatric conditions that could interfere with future-oriented decision-making, and considering benefits and harms of fertility preservation (FP) in the context of a youth's values, identity, and comfort. This report includes two case illustrations of transmasculine youth which highlight how ethical considerations emerge in clinical practice and underscore the nuance and complexity of fertility-related decision-making among transgender adolescents.

Original languageEnglish (US)
Pages (from-to)93-100
Number of pages8
JournalClinical Practice in Pediatric Psychology
Issue number1
StatePublished - Mar 2018


  • Ethics
  • Fertility preservation
  • Gender-Affirming hormone therapy
  • Reproductive health
  • Transgender youth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Applied Psychology


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