Leicester Fertility Centre, Assisted Conception Unit, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK.
Department of Health Sciences, University of Leicester, Leicester, UK.
Reprod Sci. 2023 Jul;30(7):2248-2251. doi: 10.1007/s43032-023-01168-1. Epub 2023 Jan 18.
Genital tucking is a behavioural practice facilitating gender expression by genitalia concealment. Genital tucking can be achieved by either pushing the testicles into the inguinal canal and/or securing the scrotum and penis between the legs towards the buttocks. Genital tucking has a negative impact on spermatogenesis, and therefore can result in a suboptimal sample and impaired sperm parameters. Fertility cryopreservation is recommended prior to hormone therapy or elective surgery, and therefore, the practice of genital tucking prior to fertility preservation could result in lesser quality and fewer samples being stored for future use. This case study presents a transwoman, aged 20-30, displaying severe oligoasthenoteratozoospermia derived from genital tucking. The case discusses how the cessation of genital tucking resulted in improved semen parameters, and therefore improved the quality and quantity of samples stored for future use. Fundamentally, the case highlights the necessity for health professionals to broaden their understanding and awareness of genital tucking, the impact it has on fertility, and how to better advise patients prior to fertility cryopreservation.
生殖器内卷是一种通过生殖器隐蔽来促进性别表达的行为实践。生殖器内卷可以通过将睾丸推入腹股沟管，和/或将阴囊和阴茎固定在两腿之间向臀部方向来实现。生殖器内卷会对精子发生产生负面影响，因此可能导致样本质量不佳和精子参数受损。建议在激素治疗或选择性手术前进行生育力冷冻保存，因此，在进行生育力保存之前进行生殖器内卷的做法可能会导致储存的样本质量较差，数量较少。本案例研究介绍了一位年龄在 20-30 岁之间的跨性别女性，其表现出严重的少精症、弱精症和畸形精子症，这是由于生殖器内卷引起的。该案例讨论了停止生殖器内卷如何导致精液参数的改善，从而提高了未来使用的样本的质量和数量。从根本上讲，该案例强调了卫生专业人员有必要扩大对生殖器内卷的理解和认识，了解其对生育能力的影响，以及如何在进行生育力冷冻保存之前更好地为患者提供建议。
