Division of Endocrinology and Metabolism, Department of Internal Medicine, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Department of Psychiatry, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey.
J Sex Marital Ther. 2022;48(8):789-803. doi: 10.1080/0092623X.2022.2053617. Epub 2022 Mar 25.
Despite receiving Gender-Affirming Hormone Therapy or Gender-Affirming Surgery, which may adversely impact their fertility, people with Gender Dysphoria (GD) may desire to form families. In this study, we aimed to quantitatively display fertility desire from the perspective of these individuals, despite all the legal challenges they face. The single center, cross-sectional comparative study included individuals with GD and cisgender volunteers. A Sociodemographic Data Form, the Fertility Desire Data Form, the Childbearing Motivations Scale and the Fertility Desire Scale were used. Of the 414 participants, 171 were individuals with GD (110 FtM; 61 MtF) and 243 were cisgender volunteers (142 cis-males; 101 cis-females). While 22% of the people with GD stated that they had regrets about not undergoing fertility preservation, 16% stated that they would like this process if it were legal. People with GD, particularly MtF, want to have children more than cisgenders. Moreover, people with MtF exhibited less negative motivations toward becoming parents, despite having reservations regarding the socioeconomic aspect of parenthood. Our findings indicate that fertility desire in people with GD is not less in comparison to cisgender people. Healthcare professionals should not forget to offer fertility preservation options as part of clinical practice before Gender-Affirming Therapy.
尽管接受性别肯定激素治疗或性别肯定手术可能会对他们的生育能力产生不利影响，但性别焦虑症（GD）患者可能仍希望组建家庭。在这项研究中，我们旨在从这些人的角度定量展示生育愿望，尽管他们面临着所有的法律挑战。这是一项单中心、横断面比较研究，包括 GD 患者和顺性别志愿者。使用了社会人口统计学数据表格、生育愿望数据表格、生育动机量表和生育愿望量表。在 414 名参与者中，有 171 名是 GD 患者（110 名 FtM；61 名 MtF），243 名是顺性别志愿者（142 名顺性别男性；101 名顺性别女性）。尽管 22%的 GD 患者表示对没有进行生育保存感到遗憾，但 16%的人表示如果合法，他们希望进行这个过程。GD 患者，特别是 MtF，比顺性别者更想要孩子。此外，MtF 的 GD 患者对成为父母的负面动机较少，尽管对父母身份的社会经济方面有所保留。我们的研究结果表明，GD 患者的生育愿望并不比顺性别者少。在进行性别肯定治疗之前，医疗保健专业人员不应忘记在临床实践中提供生育保存选择。
