Katabi Leila J, Ng Henry H, Streed Carl G, Arora Kavita S
Department of Bioethics, Case Western Reserve University, Cleveland, Ohio, USA.
School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Transgend Health. 2020 Dec 11;5(4):201-204. doi: 10.1089/trgh.2020.0004. eCollection 2020.
An increasing number of young adolescents who identify as transgender or nonbinary are presenting to the health care system for gender affirmation therapy before the full progression of puberty. Gender-affirming therapy may impair future fertility, but options exist for fertility preservation. This perspective reviews these options for transmasculine and nonbinary youth, and explores related ethical considerations. The authors support the right of transgender and nonbinary youth to utilize available reproductive technologies, provide recommendations for treating health professionals, and advocate for increased research efforts and tools to aid patient decision making.
越来越多认同自己为跨性别或非二元性别的青少年在青春期完全发育之前就向医疗保健系统寻求性别肯定疗法。性别肯定疗法可能会损害未来的生育能力,但存在保留生育能力的选择。本文综述了针对跨性别男性和非二元性别的青少年的这些选择,并探讨了相关的伦理考量。作者支持跨性别和非二元性别的青少年使用现有生殖技术的权利,为医疗专业人员提供治疗建议,并倡导加大研究力度和提供工具以帮助患者做出决策。