Department of Pediatrics, Division of Endocrinology, Hospital for Sick Children, Toronto, Ontario, Canada.
Department of Pediatrics, Division of Adolescent Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Arch Dis Child. 2019 Aug;104(8):739-744. doi: 10.1136/archdischild-2018-316080. Epub 2019 Mar 20.
The aim of this study was to investigate the views of young people (YP) with gender dysphoria and their parents concerning fertility preservation and reproductive and life priorities.
A cross-sectional questionnaire-based study assessed knowledge of potential effects of treatments for gender dysphoria on fertility, current and future life priorities and preferences regarding future fertility/parenting options among YP and parents.
A total of 79 YP (81% assigned female at birth [AFAB], 19% assigned male at birth [AMAB], aged 12-18 years, 68% between ages 16 years and 18 years) and 73 parents participated. The top current life priority for YP among eight options was ; the least important priority was . Anticipated life priorities 10 years from now were ranked similarly. Parents' rankings paralleled the YP responses; however, parents ranked having children as a significantly higher priority for AFAB compared with AMAB YP in 10 years. The majority of YP (66% AFAB, 67% AMAB) want to be a parent in the future. However, most do not envision having a biological child. A large majority (72% AFAB, 80% AMAB) were open to adoption. None of the YP surveyed pursued fertility preservation.
Fertility is a low current and future life priority for transgender YP. The majority of YP wish to become parents but are open to alternative strategies for building a family. These data may explain in part the reported low rates of fertility preservation among this population. Further studies are needed to assess if life priorities change over time.
本研究旨在调查性别焦虑的年轻人（YP）及其父母对生育力保存以及生殖和生活优先事项的看法。
一项横断面问卷调查研究评估了潜在的治疗性别焦虑症对生育力的影响、YP 和父母当前和未来的生活优先事项以及对未来生育/育儿选择的偏好。
共有 79 名 YP（81%出生时被指定为女性[AFAB]，19%出生时被指定为男性[AMAB]，年龄 12-18 岁，68%年龄在 16 岁至 18 岁之间）和 73 名父母参加了研究。YP 提出的八项当前生活优先事项中排名最高的是；最不重要的是。未来 10 年的预期生活优先事项排名也类似。父母的排名与 YP 的反应相似；然而，父母将生育孩子列为 10 年后 AFAB YP 比 AMAB YP 更高的优先事项。大多数 YP（66%的 AFAB，67%的 AMAB）希望在未来成为父母。然而，大多数人不希望生育亲生子女。绝大多数（72%的 AFAB，80%的 AMAB）对领养持开放态度。接受调查的 YP 中没有人选择进行生育力保存。
对于跨性别 YP 来说，生育力是当前和未来生活的低优先事项。大多数 YP 希望成为父母，但对建立家庭的替代策略持开放态度。这些数据可能部分解释了该人群报告的生育力保存率低的原因。需要进一步的研究来评估生活优先事项是否会随时间而改变。
