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Transgend Health. 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.

Author information

1
Division of Endocrinology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
2
Division of Urology, 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.
3
Division of Adolescent Medicine, Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Psychiatry & Behavioral Sciences, Northwestern University Feinberg School of Medicine Chicago, Chicago, Illinois.
4
Division of Endocrinology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
5
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.; Division of Hematology/Oncology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
6
Department of Obstetrics and Gynecology, Alden March Bioethics Institute, Albany Medical College, Albany, New York.
7
Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
8
Division of Endocrinology, Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
9
Division of Urology, Seattle Children's Hospital, Department of Urology, University of Washington Seattle, Seattle, Washington.
10
Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
11
Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan.
12
Division of Adolescent Medicine, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
13
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.; Division of Adolescent Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
14
Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, Florida.
15
Division of Endocrinology, Department of Pediatrics, Seattle Children's Hospital, University of Washington Seattle, Seattle, Washington.
16
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, MedStar Washington Hospital Center/Children's National Health System, Washington, District of Columbia.
17
Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern Feinberg School of Medicine, Chicago, Illinois.

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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