Fertility Considerations in Parental Decision-Making about Pubertal Suppression Treatment for Their Transgender and Gender-Diverse Children

Afiya Sajwani, Moira A. Kyweluk, Elisa J. Gordon, Emilie K. Johnson, Courtney Finlayson, Diane Chen*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Transgender and gender diverse (TGD) youth receiving pubertal suppression treatment may be at risk for future infertility if they progress on to gender-affirming hormones. Little is known about whether and how parents of TGD youth consider fertility-related implications when making medical decisions about pubertal suppression treatment. We conducted interviews with 13 parents of 11 TGD youth about fertility-related considerations in the context of treatment decision-making. Three major themes were identified: (1) current fertility knowledge and counseling experiences, (2) barriers to parent–child discussions around fertility, and (3) importance of fertility in treatment decision-making. Findings highlight the complex nature of fertility considerations in this population.

Original languageEnglish (US)
Pages (from-to)386-402
Number of pages17
JournalLGBTQ+ Family: An Interdisciplinary Journal
Volume18
Issue number5
DOIs
StatePublished - 2022

Keywords

  • Fertility preservation
  • gender dysphoria
  • medical decision-making
  • qualitative research
  • reproductive health
  • transgender

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Gender Studies

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