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外源性睾酮对跨性别男性生殖的影响。

Impact of Exogenous Testosterone on Reproduction in Transgender Men.

作者信息

Moravek Molly B, Kinnear Hadrian M, George Jenny, Batchelor Jourdin, Shikanov Ariella, Padmanabhan Vasantha, Randolph John F

机构信息

Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.

Department of Urology, University of Michigan, Ann Arbor, Michigan.

出版信息

Endocrinology. 2020 Mar 1;161(3). doi: 10.1210/endocr/bqaa014.

DOI:10.1210/endocr/bqaa014
PMID:32105330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7046016/
Abstract

Studies show that a subset of transgender men desire children; however, there is a paucity of literature on the effect of gender-affirming testosterone therapy on reproductive function. In this manuscript, we will review the process of gender-affirming hormone therapy for transgender men and what is known about ovarian and uterine consequences of testosterone exposure in transgender men; draw parallels with existing animal models of androgen exposure; summarize the existing literature on parenting experiences and desires in transgender people; discuss considerations for assisted reproductive technologies and fertility preservation; and identify gaps in the literature and opportunities for further research.

摘要

研究表明,一部分跨性别男性渴望生育;然而,关于性别肯定性睾酮治疗对生殖功能影响的文献却很少。在本论文中,我们将回顾跨性别男性性别肯定性激素治疗的过程,以及睾酮暴露对跨性别男性卵巢和子宫影响的已知情况;与现有的雄激素暴露动物模型进行对比;总结关于跨性别者育儿经历和愿望的现有文献;讨论辅助生殖技术和生育力保存的注意事项;并找出文献中的空白以及进一步研究的机会。

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removal of pro-fibrotic collagen and rescue of metabolic function in human ovarian fibrosis.消除人卵巢纤维化中的促纤维化胶原蛋白并恢复代谢功能。
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本文引用的文献

1
Assisted reproductive technology outcomes in female-to-male transgender patients compared with cisgender patients: a new frontier in reproductive medicine.女性向男性跨性别患者与顺性别患者的辅助生殖技术结局比较:生殖医学的新领域。
Fertil Steril. 2019 Nov;112(5):858-865. doi: 10.1016/j.fertnstert.2019.07.014. Epub 2019 Oct 6.
2
A mouse model to investigate the impact of testosterone therapy on reproduction in transgender men.一种用于研究睾酮治疗对跨性别男性生殖影响的小鼠模型。
Hum Reprod. 2019 Oct 2;34(10):2009-2017. doi: 10.1093/humrep/dez177.
3
Ovarian stimulation for fertility preservation or family building in a cohort of transgender men. transgender 男性队列中为生育保存或家庭建设进行的卵巢刺激。
J Assist Reprod Genet. 2019 Oct;36(10):2155-2161. doi: 10.1007/s10815-019-01558-y. Epub 2019 Aug 21.
4
The contraceptive and reproductive history and planning goals of trans-masculine adults: a mixed-methods study.跨性别男性成年人的避孕与生殖史及生育规划目标:一项混合方法研究
Contraception. 2019 Dec;100(6):468-473. doi: 10.1016/j.contraception.2019.07.146. Epub 2019 Aug 7.
5
Removal of DHT can relieve polycystic ovarian but not metabolic abnormalities in DHT-induced hyperandrogenism in mice.去除双氢睾酮(DHT)可缓解小鼠DHT诱导的高雄激素血症中的多囊卵巢情况,但不能改善代谢异常。
Reprod Fertil Dev. 2019 Sep;31(10):1597-1606. doi: 10.1071/RD18459.
6
Androgens and ovarian function: translation from basic discovery research to clinical impact.雄激素与卵巢功能:从基础发现研究到临床影响的转化。
J Endocrinol. 2019 Aug;242(2):R23-R50. doi: 10.1530/JOE-19-0096.
7
Fertility Considerations in Transgender Persons. transgender 人士的生育力考虑因素。
Endocrinol Metab Clin North Am. 2019 Jun;48(2):391-402. doi: 10.1016/j.ecl.2019.02.003. Epub 2019 Mar 23.
8
Fertility preservation options for transgender and gender-nonconforming individuals. transgender 和 gender-nonconforming 个体的生育力保存选择。
Curr Opin Obstet Gynecol. 2019 Jun;31(3):170-176. doi: 10.1097/GCO.0000000000000537.
9
Update on oogenesis in vitro.体外卵子发生的最新进展。
Minerva Ginecol. 2018 Oct;70(5):588-608. doi: 10.23736/S0026-4784.18.04273-9. Epub 2018 Jul 10.
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Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons: A Cohort Study.跨性别者的性激素与急性心血管事件:一项队列研究。
Ann Intern Med. 2018 Aug 21;169(4):205-213. doi: 10.7326/M17-2785. Epub 2018 Jul 10.