寻求护理的跨性别和性别多元化(TGD)青年人数继续增加,需要就性别确认医疗干预措施对生育能力的潜在长期影响进行全面咨询。这篇叙述性综述的目的是检查与生育相关的知识,态度,和决策(包括影响决策的因素,决定后悔,和决策工具)在TGD青年中。我们搜索了PubMed,PsycInfo和谷歌学者原创,同行评审研究调查TGD青年对生育力和生育力保护的态度和知识,关于生育咨询和生育保护决策的观点,以及生育相关的决策工具。我们回顾了106项研究,其中8项纳入了这篇叙述性综述。四项研究评估了TGD青年对生育力和生育力保护的知识和态度,关于生育咨询和生育保护决策的三个审查观点,三人讨论了决策工具的开发。主要发现是:1)许多TGD青年意识到性别确认治疗的潜在生育相关影响,但仍有未满足的信息需求,2)一些TGD青年报告对未来的亲生父母感兴趣,以及目前对亲生父母身份不感兴趣的人,许多人承认他们的愿望可能会随着时间的推移而改变,3)关于生育率和生育率保护的持续讨论至关重要,4)决策工具正在开发中。总之,TGD青年及其照顾者应持续接受,全面的生育咨询,和决策工具可能有助于在每个青年的性别确认护理旅程中促进这些讨论和决策。
UNASSIGNED: Transgender and gender diverse (TGD) youth demonstrate low utilization of fertility preservation before medical and surgical gender-affirming interventions. However, a significant number of TGD youth have goals for parenthood and/or recognize that their attitude toward future family-building goals may change over time. In this narrative
review, we conclude that TGD young people should have ongoing opportunities to discuss their family-building goals and options for fertility preservation. Validated decision tools can help facilitate these discussions.
UNASSIGNED: The number of transgender and gender diverse (TGD) youth seeking care continues to increase, necessitating comprehensive counseling about potential long-term effects of gender-affirming medical interventions on fertility. The objective of this narrative
review was to examine fertility-related knowledge, attitudes, and decision-making (including factors influencing decisions, decision regret, and decision tools) among TGD youth. We searched PubMed, PsycInfo, and Google Scholar for original, peer-reviewed research investigating TGD youth attitudes and knowledge of fertility and fertility preservation, perspectives on fertility
counseling and fertility preservation decision-making, as well as fertility-related decision tools. We reviewed 106 studies; eight were included in this narrative
review. Four studies assessed TGD youth knowledge and attitudes of fertility and fertility preservation, three examined perspectives on fertility counseling and fertility preservation decision-making, and three discussed development of decision tools. Key findings were that: (1) many TGD youth are aware of potential fertility-related impacts of gender-affirming treatments, but there are still unmet informational needs, (2) some TGD youth report an interest in future biological parenthood, and of those who are not currently interested in biological parenthood, many acknowledge their desires may change over time, (3) ongoing discussions about fertility and fertility preservation are critical, and (4) decision tools are in development. In conclusion, TGD youth and their caregivers should receive ongoing, comprehensive fertility
counseling and decision tools may be helpful to facilitate these discussions and decisions in each youth\'s gender-affirming care journey.