Armuand Gabriela, Dhejne Cecilia, Olofsson Jan I, Stefenson Margareta, Rodriguez-Wallberg Kenny A
Department of Reproductive Medicine, Division of Gynecology and Reproduction, Karolinska University Hospital, Stockholm, Sweden.
ANOVA, Andrology, Sexual Medicine and Transgender Medicine, Karolinska University Hospital, Stockholm, Sweden.
Ther Adv Reprod Health. 2020 Apr 30;14:2633494120911036. doi: 10.1177/2633494120911036. eCollection 2020 Jan-Dec.
As gender-affirming treatment may have a negative impact on fertility, reproductive health counseling to patients seeking medical or surgical gender-affirming treatment should be provided, including the option to undergo fertility preservation (FP). Experiences of transgender men undergoing FP treatments aimed at oocyte freezing have reported a negative impact of the treatments on gender dysphoria. No previous studies have investigated the experiences of health care professionals' (HCP) when caring for transgender men undergoing such treatments.
The aim of this study was to investigate HCP's attitudes and experiences when meeting transgender men undergoing FP through oocyte freezing.
Individual interviews were conducted in 2016 with 13 HCPs working at a Reproductive Medicine clinic in Sweden. Data were analyzed by thematic content analysis.
The main theme found, , showed that HCPs experienced important challenges to their professionalism when their preconceived opinions and values about gender and transgender were confronted.
Our findings demonstrate the need of continuous efforts on assessing learning needs as well as addressing preconceived opinions and values of HCP. By gaining knowledge and self-confidence in the care of transgender individuals undergoing FP, a professional care for transgender people can be achieved and a safe environment can be established for the patients. This in turn may alleviate some of the distress that may arise when transgender men undergo FP.
由于性别肯定治疗可能对生育能力产生负面影响，因此应向寻求医学或手术性别肯定治疗的患者提供生殖健康咨询，包括生育力保存（FP）的选择。接受旨在冷冻卵母细胞的FP治疗的跨性别男性的经历报告称，这些治疗对性别焦虑有负面影响。此前没有研究调查过医疗保健专业人员（HCP）在照顾接受此类治疗的跨性别男性时的经历。
本研究的目的是调查HCP在接待通过冷冻卵母细胞进行FP的跨性别男性时的态度和经历。
2016年对瑞典一家生殖医学诊所的13名HCP进行了个人访谈。通过主题内容分析对数据进行了分析。
发现的主要主题表明，当HCP对性别和跨性别者的先入为主的观点和价值观受到挑战时，他们的专业精神面临重大挑战。
我们的研究结果表明，需要持续努力评估学习需求，并解决HCP的先入为主的观点和价值观。通过在照顾接受FP的跨性别者方面获得知识和自信，可以实现对跨性别者的专业护理，并为患者建立一个安全的环境。这反过来可能会减轻跨性别男性接受FP时可能出现的一些困扰。
