[Skip to Content]
[Skip to Content Landing]
Views 561
Citations 0
Research Letter
April 13, 2020

Rates of Fertility Preservation Use Among Transgender Adolescents

Author Affiliations
  • 1Royal Children’s Hospital, Melbourne, Victoria, Australia
  • 2Murdoch Children’s Research Institute, Parkville, Victoria, Australia
  • 3Department of Obstetrics & Gynaecology, University of Melbourne, Royal Women’s Hospital Parkville, Victoria, Australia
JAMA Pediatr. Published online April 13, 2020. doi:10.1001/jamapediatrics.2020.0264

Transgender adolescents are increasingly seeking hormonal intervention to achieve a body consistent with their gender identity. These treatments include gonadotropin-releasing hormone agonists (GnRHa) to suppress puberty and the gender-affirming hormones testosterone and estrogen. Given that these interventions affect reproductive function, current treatment guidelines recommend prior fertility counseling and access to fertility preservation (FP).1 However, despite a previous report that 36% of transgender adolescents want biological children in the future,2 3 recent North American studies3-5 identified that less than 5% of transgender adolescents accessed FP. Whether these low rates reflect service barriers (eg, cost and availability), unwillingness to delay hormonal treatment for FP, and/or an intrinsic lack of desire for FP is unclear.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×