Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States; Gender Center of New Jersey, Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ, United States.
Gender Center of New Jersey, Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ, United States; Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States.
Maturitas. 2019 Oct;128:17-21. doi: 10.1016/j.maturitas.2019.07.004. Epub 2019 Jul 8.
Transgender men are assigned female at birth, but self-identify as male. Although some transgender men undergo gender-affirming hormonal treatment and/or surgery that preclude pregnancy, many (if not most) retain their female reproductive organs and, as a result, their capacity to become pregnant. Although the visibility of the transgender community has increased, the exposure of healthcare providers to transgender individuals, especially transgender men during pregnancy, as well as research that addresses evidence-based practice remain limited. In this review, we discuss obstetrical issues for transgender men who are ≥35 years old, termed the "new" advanced paternal age. We review preconception care and focus on fertility issues, the impact of stopping gender-affirming hormonal treatment, and age-appropriate health maintenance. We review antepartum and postpartum care, including labor and delivery, monitoring for perinatal depression, contraception, and chest feeding. Finally, we conclude with suggestions for areas for further research and study.
跨性别男性在出生时被指定为女性，但自我认同为男性。尽管有些跨性别男性接受了性别肯定的激素治疗和/或手术，从而排除了怀孕的可能，但许多（如果不是大多数）人仍然保留着女性生殖器官，因此仍然有怀孕的能力。尽管跨性别群体的可见度有所提高，但医疗保健提供者对跨性别者的了解，尤其是对怀孕的跨性别男性的了解，以及针对循证实践的研究仍然有限。在这篇综述中，我们讨论了≥35 岁的跨性别男性（称为“新”高龄）的产科问题。我们回顾了孕前护理，并重点讨论了生育问题、停止性别肯定的激素治疗的影响以及适龄健康维护。我们回顾了产前和产后护理，包括分娩和分娩、围产期抑郁监测、避孕和母乳喂养。最后，我们提出了进一步研究和学习的建议。
