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Fertility Preservation for Transgender Adolescents

  • Diane Chen
    Correspondence
    Address correspondence to: Diane Chen, Ph.D., Division of Adolescent Medicine, Department of Child and Adolescent Psychiatry, 225 East Chicago Avenue, Box 10B, Chicago, IL 60611-2605.
    Affiliations
    Division of Adolescent Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois

    Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois

    Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois

    Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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  • Lisa Simons
    Affiliations
    Division of Adolescent Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois

    Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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  • Emilie K. Johnson
    Affiliations
    Division of Urology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois

    Department of Urology & Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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  • Barbara A. Lockart
    Affiliations
    Division of General Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois

    Division of Hematology, Oncology and Stem Cell Transplant, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois
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  • Courtney Finlayson
    Affiliations
    Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois

    Division of Endocrinology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois
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      Abstract

      Purpose

      To describe fertility preservation (FP) utilization by transgender adolescents within a pediatric gender clinic between July 2013 and July 2016.

      Methods

      A retrospective chart review was conducted to abstract demographic and clinical information among adolescents initiating gender-affirming hormones, including patient age at initial FP consultation, birth-assigned sex, race/ethnicity, and outcome of FP consultation.

      Results

      In our sample of 105 transgender adolescents, a total of 13 (seven transgender men and six transgender women) between the age of 14.2 and 20.6 years were seen in formal consultation for FP before initiating hormones. Of these adolescents, four completed sperm cryopreservation and one completed oocyte cryopreservation.

      Conclusions

      Rates of FP utilization among transgender youth were low, which is consistent with a recently published report of FP utilization among transgender youth at another pediatric institution. Identified barriers to FP in our sample included cost, invasiveness of procedures, and desire not to delay medical transition.

      Keywords

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