Amy C Tishelman1,2, Megan E Sutter3, Diane Chen4,5,6, Amani Sampson7, Leena Nahata8,9, Victoria D Kolbuck4, Gwendolyn P Quinn7. 1. Departments of Endocrinology and Psychiatry, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA. Amy.tishelman@childrens.harvard.edu. 2. Harvard Medical School, Boston, MA, 02115, USA. Amy.tishelman@childrens.harvard.edu. 3. Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, 33612, USA. 4. Division of Adolescent Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 60611, USA. 5. Department of Child and Adolescent Psychiatry, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 60611, USA. 6. Departments of Psychiatry and Behavioral Sciences, and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA. 7. Departments of OB-GYN and Population Health, New York University School of Medicine, New York, NY, 10016, USA. 8. Division of Endocrinology and Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, 43205, USA. 9. The Ohio State University College of Medicine, Columbus, OH, 43205, USA.
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.
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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