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Sexual and Reproductive Health for Transgender and Gender-Diverse Patients

  • Care for the Transgender Patients (C Ferrando, Section Editor)
  • Published:
Current Obstetrics and Gynecology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review provides an overview of sexual and reproductive health considerations for transgender and gender-diverse (TGD) patients.

Recent Findings

New evidence is emerging that expands the current knowledge of TGD patient’s health needs and better informs providers to allow for more robust counseling regarding reproductive and sexual options.

Summary

TGD patients have a variety of sexual and reproductive health needs. Fertility preservation (FP), while underutilized, is desired and successful for TGD patients. Developing FP technologies are expanding the options we can offer patients. The effect of hormonal therapy on future fertility does not appear to be significant, but warrants further research given conflicting data. While visibility of TGD patients’ experiences with pregnancy is heightened, little is known regarding long-term pregnancy outcomes in this population. Contraceptive choice for TGD patients should be driven by patient desire to prevent pregnancy and, for patients assigned female at birth (AFAB), suppress menstruation.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance, •• Of major importance

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Correspondence to Petrina LaFaire.

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LaFaire, P., Goldman, R.H. Sexual and Reproductive Health for Transgender and Gender-Diverse Patients. Curr Obstet Gynecol Rep 11, 81–89 (2022). https://doi.org/10.1007/s13669-022-00333-8

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