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|Title:||Fertility Counseling for Transgender Adolescents: A Review.|
|Authors:||Lai, Timothy C;McDougall, Rosalind;Feldman, Debi;Elder, Charlotte V;Pang, Ken C|
|Affiliation:||Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia|
Austin Health, Heidelberg, Victoria, Australia
Mercy Hospital for Women, Heidelberg, Victoria, Australia
Royal Children's Hospital, Parkville, Victoria, Australia
Murdoch Children's Research Institute, Parkville, Victoria, Australia
Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia
|Citation:||The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2020; online first: 27 February|
|Abstract:||International guidelines in transgender health recommend fertility counseling before the commencement of puberty suppression, estrogen, or testosterone, given the potential for these treatments to impair fertility. However, these recommendations provide little actual guidance to clinicians. Consequently, differences in knowledge and attitudes may lead to clinicians adopting different approaches and goals in the fertility counseling they provide. This review draws attention to the disparity between the rates of desire for genetic parenthood among transgender individuals and the actual rates of fertility preservation (FP) and examines different factors in fertility counseling that affect clinical practice and contribute to this disparity. These factors include how a lack of strong evidence-for the effects of hormone therapy on future fertility and success rates of some FP options-impacts upon counseling, transgender peoples' experiences of fertility counseling and preservation, consideration of a young person's developmental stage and the roles of parents and clinicians in the decision-making process, considerations shaping transgender adolescents' decisions to preserve fertility, and access barriers to FP. In doing so, this review highlights the complexities and issues that clinicians must consider when providing fertility counseling to transgender adolescents and-in part-helps to address the lack of detailed clinical guidelines in this area.|
|Appears in Collections:||Journal articles|
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