Capela Diana, Louro Nuno, La Fuente de Carvalho José
Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal.
Serviço de Urologia, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Rev Int Androl. 2021 Apr-Jun;19(2):137-144. doi: 10.1016/j.androl.2019.10.003. Epub 2020 Jan 13.
Young transgender people increasingly seek medical help to assist them in their gender transition with hormone therapy and/or sex reassignment surgery. However, these treatments limit fertility and may make them irreversibly infertile. Studies show that the transgender population wishes to have biological children and, to help them achieve this desire for parenthood, there are techniques for preserving fertility, such as cryopreservation of gametes, embryos and ovarian or testicular tissue. However, alongside these techniques, there are ethical issues and several challenges before, during and after these procedures, that may lead young transgender people to reject these methods of preserving fertility. In conclusion, health professionals should be informed about all these dynamics between gender transition therapies and their impact on fertility, in order to better guide these individuals in their decision.
越来越多的年轻跨性别者寻求医疗帮助，通过激素治疗和/或性别重置手术来辅助他们进行性别转换。然而，这些治疗会限制生育能力，可能使他们不可逆转地不孕。研究表明，跨性别群体希望生育亲生孩子，为帮助他们实现为人父母的愿望，有一些保存生育能力的技术，如冷冻保存配子、胚胎以及卵巢或睾丸组织。然而，除了这些技术之外，在这些程序之前、期间和之后还存在伦理问题和一些挑战，这可能导致年轻跨性别者拒绝这些保存生育能力的方法。总之，医疗专业人员应该了解性别转换疗法之间的所有这些动态及其对生育能力的影响，以便更好地指导这些个体做出决策。
