TY - JOUR
T1 - Fertility Preservation for Transgender Adolescents
AU - Chen, Diane
AU - Simons, Lisa
AU - Johnson, Emilie K.
AU - Lockart, Barbara A.
AU - Finlayson, Courtney
N1 - Funding Information:
This work was supported in part by R01HD082554 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).
PY - 2017/7
Y1 - 2017/7
N2 - 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.
AB - 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.
KW - Fertility
KW - Fertility preservation
KW - Gamete cryopreservation
KW - Transgender adolescents
KW - Transgender medicine
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U2 - 10.1016/j.jadohealth.2017.01.022
DO - 10.1016/j.jadohealth.2017.01.022
M3 - Article
C2 - 28363716
AN - SCOPUS:85016751926
VL - 61
SP - 120
EP - 123
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
SN - 1054-139X
IS - 1
ER -