Fertility preservation in transgender men and the need for uniform, comprehensive counseling

Objective: To review the literature to assess best practices for counseling transgender men who desire gender-affirming surgery on fertility preservation options. Design: A scoping review of articles published through July 2021. Setting: None. Patient(s): Articles published in Cochrane, Web of Scien...

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Main Authors: Selena U. Park, M.D., Devika Sachdev, M.D., Shelley Dolitsky, M.D., Matthew Bridgeman, M.L.I.S., Mark V. Sauer, M.D., M.S., Gloria Bachmann, M.D., M.S.S., Juana Hutchinson-Colas, M.D., M.B.A.
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:F&S Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666334122000757
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author Selena U. Park, M.D.
Devika Sachdev, M.D.
Shelley Dolitsky, M.D.
Matthew Bridgeman, M.L.I.S.
Mark V. Sauer, M.D., M.S.
Gloria Bachmann, M.D., M.S.S.
Juana Hutchinson-Colas, M.D., M.B.A.
author_facet Selena U. Park, M.D.
Devika Sachdev, M.D.
Shelley Dolitsky, M.D.
Matthew Bridgeman, M.L.I.S.
Mark V. Sauer, M.D., M.S.
Gloria Bachmann, M.D., M.S.S.
Juana Hutchinson-Colas, M.D., M.B.A.
author_sort Selena U. Park, M.D.
collection DOAJ
description Objective: To review the literature to assess best practices for counseling transgender men who desire gender-affirming surgery on fertility preservation options. Design: A scoping review of articles published through July 2021. Setting: None. Patient(s): Articles published in Cochrane, Web of Science, PubMed, Science Direct, SCOPUS, and Psychinfo. Intervention(s): None. Main Outcome Measure(s): Papers discussing transgender men, fertility preservation (FP), and FP counseling. Result(s): The primary search yielded 1,067 publications. After assessing eligibility and evaluating with a quality assessment tool, 25 articles remained, including 8 reviews, 5 surveys, 4 consensus studies, 3 retrospective studies, 3 committee opinions, and 2 guidelines. Publications highlighted the importance of including the following topics during counseling: (1) FP and family building options; (2) FP outcomes; (3) effects of testosterone therapy on fertility; (4) contraception counseling; (5) attitudes toward family building; (6) consequences of transgender parenting; and (7) barriers to success. Conclusion(s): Currently, there is a lack of standardization for comprehensive counseling about FP for transgender men. Standardized approaches can facilitate conversation between physicians and transgender men and ensure patients are making informed decisions regarding pelvic surgery and future family building plans.
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spelling doaj.art-5a5413c8a3f84a5c8230f9efa98b7ac92022-12-22T02:01:05ZengElsevierF&S Reports2666-33412022-09-0133253263Fertility preservation in transgender men and the need for uniform, comprehensive counselingSelena U. Park, M.D.0Devika Sachdev, M.D.1Shelley Dolitsky, M.D.2Matthew Bridgeman, M.L.I.S.3Mark V. Sauer, M.D., M.S.4Gloria Bachmann, M.D., M.S.S.5Juana Hutchinson-Colas, M.D., M.B.A.6Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Reproductive Endocrinology and Infertility,Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Reprint requests: Selena U. Park, M.D., Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, 125 Paternson Street, New Brunswick, New Jersey 08901.Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Reproductive Endocrinology and Infertility,Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyNational Institute of Health, Bethesda, MarylandDepartment of Reproductive Endocrinology and Infertility,Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyDepartment of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Reproductive Endocrinology and Infertility,Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyDepartment of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Obstetrics, Gynecology and Reproductive Sciences, Women’s Health Institute, Rutgers Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, New Jersey; Department of Reproductive Endocrinology and Infertility,Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyDepartment of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey; Department of Obstetrics, Gynecology and Reproductive Sciences, Women’s Health Institute, Rutgers Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, New Jersey; Department of Reproductive Endocrinology and Infertility,Rutgers Robert Wood Johnson Medical School, New Brunswick, New JerseyObjective: To review the literature to assess best practices for counseling transgender men who desire gender-affirming surgery on fertility preservation options. Design: A scoping review of articles published through July 2021. Setting: None. Patient(s): Articles published in Cochrane, Web of Science, PubMed, Science Direct, SCOPUS, and Psychinfo. Intervention(s): None. Main Outcome Measure(s): Papers discussing transgender men, fertility preservation (FP), and FP counseling. Result(s): The primary search yielded 1,067 publications. After assessing eligibility and evaluating with a quality assessment tool, 25 articles remained, including 8 reviews, 5 surveys, 4 consensus studies, 3 retrospective studies, 3 committee opinions, and 2 guidelines. Publications highlighted the importance of including the following topics during counseling: (1) FP and family building options; (2) FP outcomes; (3) effects of testosterone therapy on fertility; (4) contraception counseling; (5) attitudes toward family building; (6) consequences of transgender parenting; and (7) barriers to success. Conclusion(s): Currently, there is a lack of standardization for comprehensive counseling about FP for transgender men. Standardized approaches can facilitate conversation between physicians and transgender men and ensure patients are making informed decisions regarding pelvic surgery and future family building plans.http://www.sciencedirect.com/science/article/pii/S2666334122000757transgender menfamily-buildingfertility preservation
spellingShingle Selena U. Park, M.D.
Devika Sachdev, M.D.
Shelley Dolitsky, M.D.
Matthew Bridgeman, M.L.I.S.
Mark V. Sauer, M.D., M.S.
Gloria Bachmann, M.D., M.S.S.
Juana Hutchinson-Colas, M.D., M.B.A.
Fertility preservation in transgender men and the need for uniform, comprehensive counseling
F&S Reports
transgender men
family-building
fertility preservation
title Fertility preservation in transgender men and the need for uniform, comprehensive counseling
title_full Fertility preservation in transgender men and the need for uniform, comprehensive counseling
title_fullStr Fertility preservation in transgender men and the need for uniform, comprehensive counseling
title_full_unstemmed Fertility preservation in transgender men and the need for uniform, comprehensive counseling
title_short Fertility preservation in transgender men and the need for uniform, comprehensive counseling
title_sort fertility preservation in transgender men and the need for uniform comprehensive counseling
topic transgender men
family-building
fertility preservation
url http://www.sciencedirect.com/science/article/pii/S2666334122000757
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