Evidence map›Paper›PMID 32780317›Full record

ArticleJournal of assisted reproduction and genetics2020

Ethical issues involving fertility preservation for transgender youth.

Rebecca M Harris, Irini N Kolaitis, Joel E Frader

Open access · bronzeAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Fertility counseling guide for transgender and gender diverse people.International journal of transgender health · 2023
    Article
  8. Article
  9. Care for Transgender Young People.Hormone research in paediatrics · 2022
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Rebecca M HarrisDepartment of Pediatrics, Boston Children's Hospital, Boston, MA, USA. rebecca.harris@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-2170-9487
Irini N KolaitisDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Joel E FraderDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Lurie Children's Hospital · USBoston Children's Hospital · US

Funding

The Impact of Early Medical Treatment in Transgender YouthR01HD082554 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI CHAN, YEE-MING, GAROFALO, ROBERT · 2015 to 2024
$9.7M
National Institutes of Health (US) R01-HD082554-01A1NICHD NIH HHS R01 HD082554
6 · The paper itself

Abstract

purposeTo investigate ethical issues associated with fertility preservation (FP) in transgender youth based on reports of patients and their parents.

methodsOur qualitative study involved in-person interviews with 54 subjects (35 patients and 19 parents). Interviews were audio recorded, transcribed, and verified. Each subject completed a demographic questionnaire, and each patient's medical chart was reviewed for additional information. We analyzed the data using inductive thematic content analysis.

resultsThemes that emerged included a range of desires and ambivalence about having genetically related children, variability in understanding the potentially irreversible impact of gender affirming hormones (GAHs) on fertility, use of adoption, and the impact of age on decision-making. Subjects (patients and parents) noted barriers to FP, such as cost and insurance coverage. Several parents expressed concern that their transgender children may have future regret about not attempting FP. Both transgender youth and their parents felt FP was an important precaution.

conclusionsOur study took advantage of the richness of personal narratives to identify ongoing ethical issues associated with fertility preservation in transgender youth. Transgender youth and their parents did not fully understand the process of FP, especially regarding the effects of GAHs, had fears that FP could reactivate gender dysphoria, and noted barriers to FP, such as cost, highlighting economic disparity and lack of justice. These findings highlight ethical issues involving the adequacy of informed consent and economic injustice in access to FP despite expressed interest in the topic.

Indexed as

AdolescentChildDecision MakingFemaleFertilityFertility PreservationGender DysphoriaHumansMaleTransgender PersonsEthicsFertility preservationJusticePediatricsTransgenderTransgender youth

Identifiers

PMID32780317
PMCPMC7550448
OpenAlexW3048929071

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.