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Journal of Assisted Reproduction and Genetics
Published in: Journal of Assisted Reproduction and Genetics 3/2019

01-03-2019 | Fertility | Fertility Preservation

Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey

Authors: Amy C. Tishelman, Megan E. Sutter, Diane Chen, Amani Sampson, Leena Nahata, Victoria D. Kolbuck, Gwendolyn P. Quinn

Published in: Journal of Assisted Reproduction and Genetics | Issue 3/2019

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Abstract

Purpose

To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients.

Methods

Participants were medical and mental health professionals who treat adult and youth transgender patients. Recruitment occurred online and in person, via professional listservs for transgender professionals, conferences, and gender clinics. From August–November 2017, 110 participants representing nine countries responded to four open-ended questions included on a survey related to provider practice behaviors and perceived barriers to fertility counseling, fertility preservation, and family building with transgender patients. Thematic coding analysis was used to identify themes.

Results

Multiple themes were identified including the following: access and cost issues; urgency for gender-affirming treatment; patient maturity and inability to make future-oriented decisions; and provider-related challenges pertaining to knowledge, role, and general lack of information in the nascent field of transgender reproductive health.

Conclusion(s)

This study yielded insights into practice behaviors, challenges, and perceived barriers to fertility counseling with transgender individuals and can serve as a basis for intervention development to optimize clinical practices with this population.
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Metadata
Title
Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey
Authors
Amy C. Tishelman
Megan E. Sutter
Diane Chen
Amani Sampson
Leena Nahata
Victoria D. Kolbuck
Gwendolyn P. Quinn
Publication date
01-03-2019
Publisher
Springer US
Keyword
Fertility
Published in
Journal of Assisted Reproduction and Genetics / Issue 3/2019
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-018-1395-y

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