ArticleLGBT health2019
Factors Affecting Fertility Decision-Making Among Transgender Adolescents and Young Adults.
Article in LGBT health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Endocrine Management of Transgender and Gender-Diverse Adolescents: Expert Opinion of the ESPE Working Group on Gender Incongruence and the Endo-ERN Main Thematic Group on Sexual Development and Maturation.Hormone research in paediatrics · 2026Guideline
- Barriers to sexual and reproductive health care faced by transgender and gender diverse people: a systematic review.Reproductive health · 2025Pooled it
- "Just for pregnant women, not for you": a qualitative evaluation of the sexual and reproductive healthcare experiences of transgender and gender diverse cancer survivors.Journal of cancer survivorship : research and practice · 2026Article
- Structural stigma, parenthood patterns and depressive symptoms among transgender and gender diverse individuals across 30 countries in Europe.International journal of transgender health · 2026Article
- Gender-affirming hormone therapy: Effect on semen quality and use of fertility preservation.Andrology · 2026Review
- Mapping the missing: a scoping review identifying critically underrepresented LGBTQI+ youth within online sexual, reproductive, and transgender healthcare research.Sexual and reproductive health matters · 2025Article
- The gender incongruence module in the European Registries for Rare Endocrine & Bone Conditions (EuRREB): first results, current insights, and future directions.Endocrine connections · 2025Article
- The Impact of a Formalized Fertility Preservation Program on Access to Care and Sperm Cryopreservation Among Transgender and Nonbinary Patients Assigned Male at Birth.Journal of clinical medicine · 2025Article
- Co-design and usability of an interactive web-based fertility decision aid for transgender youth and young adults.Journal of pediatric psychology · 2025Article
- The experience of transfeminine adolescents and their parents regarding fertility preservation via testicular sperm extraction (TESE): a qualitative study.Human reproduction (Oxford, England) · 2024Article
- Thoughts and opinions about fertility preservation and family building from the transgender community-an interview-based approach.AJOG global reports · 2024Article
- Mapping ethical, legal, and social implications (ELSI) of fertility preservation.Journal of assisted reproduction and genetics · 2024Review
- Expectations and Experienced Outcomes Regarding Gender-Affirming Surgeries: A Pilot Study.Transgender health · 2024Article
- Exploring Decisional Conflict Experienced by Individuals Considering Metoidioplasty and Phalloplasty Gender-affirming Surgery.Plastic and reconstructive surgery. Global open · 2024Article
- Update on bioethical, medical and fertility issues in gender incongruence during transition age.Journal of endocrinological investigation · 2023Review
- Reproductive and Fertility Knowledge and Attitudes Among Transgender and Gender-Expansive Youth: A Replication and Extension.Transgender health · 2023Article
- Providers' Perspectives on Decision-Making About Care for Transgender Youth.Transgender health · 2023Article
- Gender and Sexual Health-Related Knowledge Gaps and Educational Needs of Parents of Transgender and Non-Binary Youth.Archives of sexual behavior · 2023Article
- Decision making in metoidioplasty and phalloplasty gender-affirming surgery: a mixed methods study.The journal of sexual medicine · 2023Article
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Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeThis study aimed to identify factors affecting transgender adolescents' and young adults' (AYA) decisions to pursue fertility preservation (FP).
methodsParticipants completed a semistructured interview between December 2016 and June 2017 to inform improvements in fertility counseling and the development of a fertility decision aid targeted to transgender youth. Interviews included open-ended questions within the following domains: (1) gender-affirming medical care received, (2) knowledge of gender-affirming hormone effects on fertility and FP options, (3) FP decision-making, and (4) how, when, and what information AYA prefer to receive regarding FP. The interviews were analyzed thematically.
resultsEighteen transgender AYA (ages 15-24) participated (60% participation rate). The majority was White (61%) and assigned female at birth (67%). Half received specialized FP counseling (50%). Few of the transgender AYA pursued FP (33%). Five key themes reflecting factors affecting transgender AYA's FP decision-making were identified: (1) future parenthood desires, (2) individual experiences of gender dysphoria, (3) family values around biological parenthood, (4) financial considerations, and (5) fertility information provision.
conclusionsTransgender AYA consider numerous factors in deciding whether to pursue FP. Although individual desires for and family values around biological parenthood influenced whether AYA pursued specialized FP counseling, individual experiences of gender dysphoria and costs of FP were barriers. AYA also identified shortcomings in fertility counseling with providers, highlighting the need to establish standardized counseling protocols and develop patient decision aids.
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