Fertility Preservation for Transgender Adolescents
Fertility Preservation for Transgender Adolescents
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DOI：
10.1016/j.jadohealth.2017.01.022
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发表时间：
2017-07-01
影响因子：
7.6
通讯作者：
Finlayson, Courtney
中科院分区：
文献类型：
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作者：
Chen, Diane;Simons, Lisa;Finlayson, Courtney
目的：描述2013年7月至2016年7月期间在儿科性别诊所内跨性别青少年对生育保留（FP）的利用。方法：进行回顾性图表审查，以提取开始使用性别肯定激素的青少年的人口统计学和临床信息，包括首次FP咨询时的患者年龄，出生指定性别，种族/民族和FP咨询结果。结果：在我们的105名跨性别青少年样本中，共有13名（7名跨性别男性和6名跨性别女性）年龄在14.2至20.6岁之间，在开始使用激素之前接受了FP的正式咨询。在这些青少年中，四个完成精子冷冻保存和一个完成卵母细胞cryopreservation.Conclusions：率的FP利用率在跨性别青年低，这是一致的，最近发表的报告中的FP利用率在另一个儿科机构的跨性别青年。在我们的样本中，确定的FP障碍包括成本、手术的侵入性和不延迟医疗过渡的愿望。(C)2017年青少年健康和医学协会。All rights reserved.
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.