Isabelle Stuyver1, Sara Somers1,2, Veerle Provoost3, Katrien Wierckx4, Hans Verstraelen2,5, Elia Wyverkens6, Lien Van Glabeke1, Guy T'Sjoen7,8, Ann Buysse9, Guido Pennings3, Petra De Sutter1,2. 1. Department of Reproductive Medicine, Ghent University Hospital, Gent, Belgium. 2. Department of Human Structure and Repair, Ghent University, Gent, Belgium. 3. Bioethics Institute Ghent (BIG), Department of Philosophy and Moral Sciences, Ghent University, Gent, Belgium. 4. Department of Endocrinology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium. 5. Department of Gynaecology and Obstetrics, Ghent University Hospital, Gent, Belgium. 6. Department of Applied Psychology, Howest University of Applied Sciences, Brugge, Belgium. 7. Department of Endocrinology, Ghent University Hospital, Gent, Belgium. 8. Center for Sexology and Gender, Ghent University Hospital, Gent, Belgium. 9. Department of Experimental-Clinical and Health Psychology, Ghent University, Gent, Belgium.
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.
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.
Authors: Katrien Wierckx; Eva Van Caenegem; Els Elaut; David Dedecker; Fleur Van de Peer; Kaatje Toye; Steven Weyers; Piet Hoebeke; Stan Monstrey; Griet De Cuypere; Guy T'Sjoen Journal: J Sex Med Date: 2011-06-23 Impact factor: 3.802
Authors: G De Wert; W Dondorp; F Shenfield; P Barri; P Devroey; K Diedrich; B Tarlatzis; V Provoost; G Pennings Journal: Hum Reprod Date: 2014-07-22 Impact factor: 6.918