Transgender Men Who Experienced Pregnancy After Female-to-Male Gender Transitioning
Transgender Men Who Experienced Pregnancy After Female-to-Male Gender Transitioning
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DOI：
10.1097/aog.0000000000000540
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发表时间：
2014-12-01
影响因子：
7.2
通讯作者：
Kerns, Jennifer L.
中科院分区：
文献类型：
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作者：
Light, Alexis D.;Obedin-Maliver, Juno;Kerns, Jennifer L.
目的：进行一项横断面研究的跨性别男性谁已经怀孕，并交付后，从女性到男性的性别转变，以帮助指导实践和进一步investigation.MATERIALS AND METHODS：我们管理了一个基于网络的调查，从2013年3月至12月，询问人口统计学，激素的使用，生育能力，怀孕的经验，和出生结果。参与者不需要接受激素治疗才有资格。我们采用混合方法的方法来评估的定量和定性data.RESULTS：41自我描述的跨性别男性完成了调查。在怀孕前，61%（n = 25）使用睾酮。平均受孕年龄为28岁，标准差为6.8岁。88%的卵母细胞（n = 36）来自参与者自己的卵巢。一半的参与者接受了医生的产前护理，78%的参与者在医院分娩。定性的主题包括低水平的医疗保健提供者的认识和知识的独特需求，怀孕的跨性别男子以及资源的愿望，以支持跨性别男子通过他们的pregnancy. CONCLUSION：跨性别男子实现怀孕后，社会，医学，或两者都过渡。本研究的主题可用于开发适合跨性别的服务和干预措施，以改善跨性别男性的健康和医疗保健体验。
OBJECTIVE:To conduct a cross-sectional study of transgender men who had been pregnant and delivered after transitioning from female-to-male gender to help guide practice and further investigation.MATERIALS AND METHODS:We administered a web-based survey from March to December 2013 to inquire about demographics, hormone use, fertility, pregnancy experience, and birth outcomes. Participants were not required to have been on hormone therapy to be eligible. We used a mixed-methods approach to evaluate the quantitative and qualitative data.RESULTS:Forty-one self-described transgender men completed the survey. Before pregnancy, 61% (n=25) had used testosterone. Mean age at conception was 28 years with a standard deviation of 6.8 years. Eighty-eight percent of oocytes (n=36) came from participants' own ovaries. Half of the participants received prenatal care from a physician and 78% delivered in a hospital. Qualitative themes included low levels of health care provider awareness and knowledge about the unique needs of pregnant transgender men as well as a desire for resources to support transgender men through their pregnancy.CONCLUSION:Transgender men are achieving pregnancy after having socially, medically, or both transitioned. Themes from this study can be used to develop transgender-appropriate services and interventions that may improve the health and health care experiences of transgender men.