跨性别者和非二元性别人士的生育力保存选择。
Fertility preservation options for transgender and nonbinary individuals.
作者信息
Reckhow Jensen, Kula Hakan, Babayev Samir
机构信息
Obstetrics & Gynecology, Mayo Clinic, 200 1st Street SW, Rochester, MN 55907, USA.
Obstetrics & Gynecology, Dokuz Eylul University, Izmir, Turkey.
出版信息
Ther Adv Endocrinol Metab. 2023 Jun 6;14:20420188231178371. doi: 10.1177/20420188231178371. eCollection 2023.
Transgender and nonbinary individuals are historically underserved by healthcare systems. A crucial area for improvement is fertility preservation counseling and service delivery, as gender-affirming hormone therapy and gender-affirming surgery may negatively affect future fertility. The methods available for fertility preservation depend on the patient's pubertal status and utilization of gender-affirming therapies, and counseling and delivery of these services are complex and require a multidisciplinary approach. Further research is needed to identify pertinent stakeholders in managing the care of these patients, as well as to better understand the optimal frameworks for delivering integrated and comprehensive care to this patient population. Fertility preservation is an active and exciting area of scientific discovery and offers a wealth of opportunities to improve the care of transgender and nonbinary individuals.
从历史上看，医疗保健系统一直未能充分满足跨性别者和非二元性别者的需求。一个亟待改进的关键领域是生育力保存咨询和服务提供，因为性别肯定激素疗法和性别肯定手术可能会对未来生育能力产生负面影响。可用于生育力保存的方法取决于患者的青春期状态以及对性别肯定疗法的使用情况，而这些服务的咨询和提供很复杂，需要多学科方法。需要进一步研究以确定管理这些患者护理的相关利益相关者，以及更好地理解为这一患者群体提供综合全面护理的最佳框架。生育力保存是一个活跃且令人兴奋的科学发现领域，为改善对跨性别者和非二元性别者的护理提供了大量机会。
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