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. 2016;1(1):99-107.
doi: 10.1089/trgh.2016.0008. Epub 2016 Jun 1.

Proceedings of the Working Group Session on Fertility Preservation for Individuals with Gender and Sex Diversity

Courtney Finlayson  1 , Emilie K Johnson  2 , Diane Chen  3 , Elizabeth Dabrowski  4 , Yasmin Gosiengfiao  5 , Lisa Campo-Engelstein  6 , Ilina Rosoklija  7 , Jill Jacobson  8 , Margarett Shnorhavorian  9 , Mary Ellen Pavone  10 , Molly B Moravek  11 , Herbert J Bonifacio  12 , Lisa Simons  13 , Janella Hudson  14 , Patricia Y Fechner  15 , Veronica Gomez-Lobo  16 , Rachel Kadakia  4 , Angela Shurba  7 , Erin Rowell  17 , Teresa K Woodruff  10
Affiliations

Proceedings of the Working Group Session on Fertility Preservation for Individuals with Gender and Sex Diversity

Courtney Finlayson et al. Transgend Health. 2016.

Abstract

Children and adolescents with gender and sex diversity include (1) gender-nonconforming and transgender individuals for whom gender identity or expression are incongruent with birth-assigned sex (heretofore, transgender) and (2) individuals who have differences in sex development (DSD). Although these are largely disparate groups, there is overlap in the medical expertise necessary to care for individuals with both gender and sex diversity. In addition, both groups face potential infertility or sterility as a result of desired medical and surgical therapies. The Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) gender and sex development program (GSDP) provides specialized multidisciplinary care for both transgender and DSD patients. In response to patient concerns that recommended medical treatments have the potential to affect fertility, the Lurie Children's GSDP team partnered with experts from the Oncofertility Consortium at Northwestern University to expand fertility preservation options to gender and sex diverse youth. This article summarizes the results of a meeting of experts across this field at the annual Oncofertility Consortium conference with thoughts on next steps toward a unified protocol for this patient group.

Keywords: disorders of sex development; fertility; gender dysphoria; intersex; transgender.

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Figures

<b>FIG. 1.</b>
FIG. 1.
Transgender fertility preservation scenarios.
<b>FIG. 2.</b>
FIG. 2.
DSD fertility preservation scenarios. DSD, differences in sex development.
<b>FIG. 3.</b>
FIG. 3.
Spermatogenesis and oogenesis.
See this image and copyright information in PMC

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