South Carolina Honors College, University of South Carolina, Columbia, SC.
Department of Sociology, University of South Carolina, Columbia, SC.
Yale J Biol Med. 2020 Sep 30;93(4):517-528. eCollection 2020 Sep.
Despite the burgeoning scholarship on transgender health and health care, the literature on transgender reproduction and reproductive medicine remains limited. In this narrative literature review, we examine recently published studies focused on the pregnancy and birth experiences of transgender men to provide an overview of the literature's major contributions and illuminate the gaps that exist within this research. Our review reveals that transgender men face substantial obstacles to achieving pregnancy and significant challenges during pregnancy and birth, which are informed by institutionalized cisnormativity embedded within medical norms and practices. This article demonstrates the importance of better understanding transgender men's reproductive health care needs in order to improve the quality of pregnancy-related health care delivery to this population. Our findings also provide insight for researchers, health care providers, and educators seeking to create and enhance gender-affirming medical education and training.
尽管关于跨性别健康和医疗保健的学术研究蓬勃发展，但关于跨性别生殖和生殖医学的文献仍然有限。在本次叙述性文献回顾中，我们研究了最近发表的专注于跨性别男性怀孕和生育经历的研究，以概述文献的主要贡献，并阐明该研究领域存在的差距。我们的综述表明，跨性别男性在实现怀孕方面面临着巨大的障碍，并且在怀孕和分娩期间面临着重大挑战，这些障碍是由医疗规范和实践中固有的、制度化的顺性别规范所导致的。本文展示了更好地理解跨性别男性生殖健康需求的重要性，以便改善为这一人群提供的与怀孕相关的医疗保健服务质量。我们的研究结果还为研究人员、医疗保健提供者和教育工作者提供了见解，他们希望创建和加强性别肯定的医学教育和培训。
