Timing and Delivery of Fertility Preservation Information to Transgender Adolescents, Young Adults, and Their Parents

Kit M. Quain*, Moira A. Kyweluk, Afiya Sajwani, Siobhan Gruschow, Courtney Finlayson, Elisa J. Gordon, Emilie K. Johnson, Rebecca Persky, Nadia Dowshen, Diane Chen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Purpose: This study aimed to examine transgender adolescents and young adults’ (AYA) and their parents’ preferences regarding fertility preservation (FP) information provision and discussion timing. Methods: Data were derived from two separate studies: an online survey and semistructured qualitative interviews. Survey data were analyzed using descriptive statistics and interview data using conventional content analysis. Results: Survey participants (AYA: 88% and parents: 93%) preferred gender clinic physicians provide FP information, and nearly one-third endorsed mental health professionals (AYA: 28% and parents: 26%) or fertility specialists (AYA: 23% and parents: 30%). Interview participants’ FP discussion timing preferences ranged from the initial clinic visit, follow-up visits, before medical intervention, to mentioning FP early but deferring in-depth discussion to follow-up visits. Conclusions: Gender clinic physicians, mental health professionals, and fertility specialists should be prepared to discuss FP with transgender AYA and their parents. Opinions varied regarding when to provide FP information; therefore, discussion timing may need to be individualized.

Original languageEnglish (US)
Pages (from-to)619-622
Number of pages4
JournalJournal of Adolescent Health
Issue number3
StatePublished - Mar 2021


  • Fertility preservation
  • Patient-centered care
  • Qualitative research
  • Surveys and questionnaires
  • Transgender adolescents

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health


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