Department of Urology, NYU Langone Medical Center, New York University School of Medicine, 222 East 41st Street, New York, NY 10017, USA.
Department of Urology, New York Presbyterian Hospital, Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY 10032, USA.
Urol Clin North Am. 2019 Nov;46(4):487-493. doi: 10.1016/j.ucl.2019.07.003. Epub 2019 Aug 16.
Gender dysphoria, or the incongruence between gender identification and sex assigned at birth with associated discomfort or distress, manifests in transgender patients, whose multifaceted care includes puberty suppression, cross-sex hormonal therapy, and gender-affirming surgery. Discussion of fertility preservation (FP) is paramount because many treatments compromise future fertility, and although transgender patients demonstrate desire for children, use of FP remains low for a plethora of reasons. In transgender women, established FP options include ejaculated sperm cryopreservation, electroejaculation, or testicular sperm extraction. Further research is needed regarding reproductive health and FP in transgender patients.
性别焦虑，或性别认同与出生时分配的性别之间的不一致，伴随着不适或痛苦，在跨性别患者中表现出来，他们的多方面护理包括青春期抑制、跨性别激素治疗和性别肯定手术。讨论生育力保存（FP）至关重要，因为许多治疗方法会损害未来的生育能力，尽管跨性别患者表现出对孩子的渴望，但由于多种原因，FP 的使用率仍然很低。在跨性别女性中，已确立的 FP 选择包括冷冻保存射出的精子、电刺激射精或睾丸精子提取。需要进一步研究跨性别患者的生殖健康和 FP。
Zotero 插件