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Ten years of fertility treatment experience and reproductive options in transgender men

Isabelle Stuyver (UGent) , Sara Somers (UGent) , Veerle Provoost (UGent) , Katrien Wierckx, Hans Verstraelen (UGent) , Elia Wyverkens, Lien Van Glabeke (UGent) , Guy T'Sjoen (UGent) , Ann Buysse (UGent) , Guido Pennings (UGent) , et al.
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Abstract
Background: Up to 2018, the Belgian law stated that transgender people who wanted to change their legal sex had to undergo physical gender affirming treatment. This included gonadectomy to a medically possible and justified extent, which entailed that they had to accept the fact that they could no longer reproduce. However, research has shown that many transgender people desire to have children. Aims: (1) to describe a cohort of transgender men and their respective cisgender female partners, to share our experiences with their request for donor conception, and to evaluate their disclosure intentions to the child, (2) to explore how the couples approach current and future reproductive options. Methods: This mixed method study presents data from a retrospective analysis of patient records and from a qualitative interview study. The couples were selected from the group of transgender men who – together with their respective cisgender female partners – applied for sperm donation at Ghent University Hospital between 2002 and 2012. Results: Forty-seven transgender men with a cisgender female partner requested treatment with anonymous donor sperm for a first child as a couple. Forty-one requests were accepted for treatment. We found that most couples requesting treatment intended to disclose the use of donor sperm to their future child (n = 34) while 24 couples were planning to inform the child about the parent’s transgender identity. The six couples we interviewed saw donor conception as the preferred route to become parents. Adoption was seen as less obvious. The couples’ attitudes toward stem cell-derived gametes reflected the significance of the genetic link with the child for both parents. Discussion: Not all participants in our study were aware of their reproductive options. To be able to make a well-informed decision, transgender people should be counseled about all options at the time of transition.
Keywords
Fertility, disclosure, donor conception, reproductive options, transgender men, counseling, ASSISTED REPRODUCTION, GENDER REASSIGNMENT, DONOR INSEMINATION, FOLLOW-UP, DISCLOSURE, COUPLES, HEALTH, CARE, ETHICS, SPERM

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MLA
Stuyver, Isabelle, et al. “Ten Years of Fertility Treatment Experience and Reproductive Options in Transgender Men.” INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH, 2021, doi:10.1080/26895269.2020.1827472.
APA
Stuyver, I., Somers, S., Provoost, V., Wierckx, K., Verstraelen, H., Wyverkens, E., … De Sutter, P. (2021). Ten years of fertility treatment experience and reproductive options in transgender men. INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH. https://doi.org/10.1080/26895269.2020.1827472
Chicago author-date
Stuyver, Isabelle, Sara Somers, Veerle Provoost, Katrien Wierckx, Hans Verstraelen, Elia Wyverkens, Lien Van Glabeke, et al. 2021. “Ten Years of Fertility Treatment Experience and Reproductive Options in Transgender Men.” INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH. https://doi.org/10.1080/26895269.2020.1827472.
Chicago author-date (all authors)
Stuyver, Isabelle, Sara Somers, Veerle Provoost, Katrien Wierckx, Hans Verstraelen, Elia Wyverkens, Lien Van Glabeke, Guy T’Sjoen, Ann Buysse, Guido Pennings, and Petra De Sutter. 2021. “Ten Years of Fertility Treatment Experience and Reproductive Options in Transgender Men.” INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH. doi:10.1080/26895269.2020.1827472.
Vancouver
1.
Stuyver I, Somers S, Provoost V, Wierckx K, Verstraelen H, Wyverkens E, et al. Ten years of fertility treatment experience and reproductive options in transgender men. INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH. 2021;
IEEE
[1]
I. Stuyver et al., “Ten years of fertility treatment experience and reproductive options in transgender men,” INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH, 2021.
@article{8677735,
  abstract     = {Background: Up to 2018, the Belgian law stated that transgender people who wanted to change their legal sex had to undergo physical gender affirming treatment. This included gonadectomy to a medically possible and justified extent, which entailed that they had to accept the fact that they could no longer reproduce. However, research has shown that many transgender people desire to have children.

Aims: (1) to describe a cohort of transgender men and their respective cisgender female partners, to share our experiences with their request for donor conception, and to evaluate their disclosure intentions to the child, (2) to explore how the couples approach current and future reproductive options.

Methods: This mixed method study presents data from a retrospective analysis of patient records and from a qualitative interview study. The couples were selected from the group of transgender men who – together with their respective cisgender female partners – applied for sperm donation at Ghent University Hospital between 2002 and 2012.

Results: Forty-seven transgender men with a cisgender female partner requested treatment with anonymous donor sperm for a first child as a couple. Forty-one requests were accepted for treatment. We found that most couples requesting treatment intended to disclose the use of donor sperm to their future child (n = 34) while 24 couples were planning to inform the child about the parent’s transgender identity. The six couples we interviewed saw donor conception as the preferred route to become parents. Adoption was seen as less obvious. The couples’ attitudes toward stem cell-derived gametes reflected the significance of the genetic link with the child for both parents.

Discussion: Not all participants in our study were aware of their reproductive options. To be able to make a well-informed decision, transgender people should be counseled about all options at the time of transition.},
  author       = {Stuyver, Isabelle and Somers, Sara and Provoost, Veerle and Wierckx, Katrien and Verstraelen, Hans and Wyverkens, Elia and Van Glabeke, Lien and T'Sjoen, Guy and Buysse, Ann and Pennings, Guido and De Sutter, Petra},
  issn         = {2689-5269},
  journal      = {INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH},
  keywords     = {Fertility,disclosure,donor conception,reproductive options,transgender men,counseling,ASSISTED REPRODUCTION,GENDER REASSIGNMENT,DONOR INSEMINATION,FOLLOW-UP,DISCLOSURE,COUPLES,HEALTH,CARE,ETHICS,SPERM},
  language     = {eng},
  pages        = {10},
  title        = {Ten years of fertility treatment experience and reproductive options in transgender men},
  url          = {http://dx.doi.org/10.1080/26895269.2020.1827472},
  year         = {2021},
}

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