Evidence map›Paper›PMID 36644915›Full record

ArticleHuman reproduction (Oxford, England)2023

Management of testosterone around ovarian stimulation in transmasculine patients: challenging common practices to meet patient needs-2 case reports.

Molly B Moravek, Marjorie Dixon, Samantha M Pena, Juno Obedin-Maliver

Open access · greenAbstract readCase Reports
In one paragraph

Article in Human reproduction (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
  4. Review
  5. Review
  6. Reproductive capacity after gender-affirming testosterone therapy.Human reproduction (Oxford, England) · 2023
    Article
  7. Article
  8. Fertility counseling guide for transgender and gender diverse people.International journal of transgender health · 2023
    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

4 authors at 2 institutions in 1 country.

Molly B MoravekDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-9972-4938
Marjorie DixonAnova Fertility and Reproductive Health, North York, Ontario, Canada.
Samantha M PenaAnova Fertility and Reproductive Health, North York, Ontario, Canada.
Juno Obedin-MaliverDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Palo Alto, CA, USA.
Stanford University · USUniversity of Michigan · US

Funding

UCSF-Kaiser Urological Epidemiology Research Career Development ProgramK12DK111028 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2025
$5.3M
Reproductive Consequences of Steroid Hormone AdministrationR01HD098233 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MORAVEK, MOLLY BENNETTE · 2019 to 2023
$2.6M
NICHD NIH HHS R01 HD098233
6 · The paper itself

Abstract

Approximately 50% of transmasculine people use testosterone for gender affirmation, yet very little is known about the effects of testosterone on future reproductive capacity. Moreover, there are no data to guide fertility specialists on how to manage testosterone leading up to or during ovarian stimulation. Most clinics require cessation of testosterone prior to ovarian stimulation in this setting of no data; however, the current literature does suggest a potential increase in dysphoria with cessation of testosterone and during stimulation. This divergence begs the question of whether clinicians may be doing more harm than good by enacting this requirement. Here, we present two cases of transmasculine individuals who were on testosterone prior to stimulation and maintained their testosterone dosage throughout stimulation as proof of concept, followed by a discussion of current clinical practice and providing some rationale to support continuation of testosterone throughout stimulation.

Indexed as

TestosteroneTransgender PersonsFemaleGender IdentityHumansMaleOvulation InductionReproductionTestosteroneARTfertility preservationgender-affirming hormonesLGBTQ (lesbian, gay, bisexual, transgender, queer)mensesovarian stimulationtestosteronetransgendertransmasculine

Identifiers

PMID36644915
PMCPMC9977120
OpenAlexW4316466462

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.