Rowlands Sam, Amy Jean-Jacques
a Centre of Postgraduate Medical Research & Education, Faculty of Health & Social Sciences , Bournemouth University , Bournemouth , UK.
b Faculty of Medicine & Pharmacy , Vrije Universiteit Brussel , Brussels , Belgium.
Eur J Contracept Reprod Health Care. 2018 Feb;23(1):58-63. doi: 10.1080/13625187.2017.1422240. Epub 2018 Jan 11.
The bodies of some transgender and intersex people have been mutilated and their minds subjected to immense distress. Their gender has often been determined by others. Loss of fertility used to be considered an inevitable consequence of treatment.
To review the issue of preserving the reproductive potential of transgender and intersex people.
A narrative review based on a wide-ranging search of the literature in multiple disciplines.
Major technological advances have facilitated reproduction for transgender and intersex people in the last few years. A majority of trans-adults believe that fertility preservation should be offered to them. Deferment of surgery for intersex people is often best practice; gonadectomy in infancy closes off fertility options and determines a gender they may later regret.
Transgender and intersex people should be able to consent to or decline treatment, especially radical surgery, themselves. Preservation of reproductive potential and sexual function must be given a high priority. Treatment by multidisciplinary teams can provide a strong emphasis on mental health and well-being. Detailed information about options, an absence of any coercion and enough time are all needed in order to make complex, life-changing decisions.
一些跨性别者和双性人的身体受到残害，精神遭受巨大痛苦。他们的性别常常由他人决定。过去，生育能力的丧失被认为是治疗的必然结果。
综述跨性别者和双性人生育潜力保存的问题。
基于对多学科文献的广泛检索进行叙述性综述。
在过去几年中，重大技术进步促进了跨性别者和双性人的生育。大多数成年跨性别者认为应向他们提供生育力保存服务。对双性人推迟手术通常是最佳做法；婴儿期进行性腺切除术会关闭生育选择并确定一个他们日后可能会后悔的性别。
跨性别者和双性人应该能够自行同意或拒绝治疗，尤其是根治性手术。必须高度重视生育潜力和性功能的保存。多学科团队的治疗可以高度重视心理健康和幸福。为了做出复杂的、改变生活的决定，需要提供关于各种选择的详细信息、不存在任何强迫以及足够的时间。
