Finlayson Courtney, Johnson Emilie K, Chen Diane, Dabrowski Elizabeth, Gosiengfiao Yasmin, Campo-Engelstein Lisa, Rosoklija Ilina, Jacobson Jill, Shnorhavorian Margarett, Pavone Mary Ellen, Moravek Molly B, Bonifacio Herbert J, Simons Lisa, Hudson Janella, Fechner Patricia Y, Gomez-Lobo Veronica, Kadakia Rachel, Shurba Angela, Rowell Erin, Woodruff Teresa K
Division of Endocrinology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Urology, Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Transgend Health. 2016;1(1):99-107. doi: 10.1089/trgh.2016.0008. Epub 2016 Jun 1.
Children and adolescents with gender and sex diversity include (1) gender-nonconforming and transgender individuals for whom gender identity or expression are incongruent with birth-assigned sex (heretofore, transgender) and (2) individuals who have differences in sex development (DSD). Although these are largely disparate groups, there is overlap in the medical expertise necessary to care for individuals with both gender and sex diversity. In addition, both groups face potential infertility or sterility as a result of desired medical and surgical therapies. The Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) gender and sex development program (GSDP) provides specialized multidisciplinary care for both transgender and DSD patients. In response to patient concerns that recommended medical treatments have the potential to affect fertility, the Lurie Children's GSDP team partnered with experts from the Oncofertility Consortium at Northwestern University to expand fertility preservation options to gender and sex diverse youth. This article summarizes the results of a meeting of experts across this field at the annual Oncofertility Consortium conference with thoughts on next steps toward a unified protocol for this patient group.
（1）性别不一致和跨性别者，其性别认同或表达与出生时指定的性别不一致（以下简称跨性别者）；（2）性发育差异（DSD）个体。尽管这两类人群在很大程度上有所不同，但在为性别和性特征存在差异的个体提供护理所需的医学专业知识方面存在重叠。此外，由于期望的药物和手术治疗，这两类人群都面临潜在的不孕或不育问题。芝加哥安&罗伯特·H·卢里儿童医院（卢里儿童医院）的性别与性发育项目（GSDP）为跨性别者和DSD患者提供专门的多学科护理。为回应患者对推荐的医学治疗可能影响生育能力的担忧，卢里儿童医院GSDP团队与西北大学肿瘤生育联盟的专家合作，为性别和性特征存在差异的青少年拓展生育力保存选择。本文总结了该领域专家在年度肿瘤生育联盟会议上的一次会议结果，并就针对该患者群体制定统一方案的下一步措施提出了想法。
