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Reproduction in Transgender and Nonbinary Individuals

A Clinical Guide

  • Book
  • © 2023

Overview

Editors:
  1. Molly B. Moravek

    1. Department of Obstetrics & Gynecology, University of Michigan–Ann Arbor, Ann Arbor, USA

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    You can also search for this editor in PubMed   Google Scholar

  2. Gene de Haan

    1. Obstetrics and Gynecology, Northwest Permanente, Portland, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  • Presents data and resources to properly counsel transgender nonbinary patients on reproductive considerations

  • Discusses effects of masculinizing and feminizing hormone therapy as well as fertility preservation options

  • A timely text for reproductive endocrinologists, surgeons and all clinical staff working with this population

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Table of contents (13 chapters)

  1. Front Matter

    Pages i-vi
    Download chapter PDF

  2. Introduction to the Demographics and Reproductive Health Needs of Transgender and Nonbinary People

    • Halley P. Crissman, Gene de Haan
    Pages 1-7

  3. Overview of Gender-Affirming Therapy

    • Chelsea N. Fortin, John F. Randolph
    Pages 9-32

  4. Effects of Masculinizing Therapy on Reproductive Capacity

    • Hadrian M. Kinnear, Molly B. Moravek
    Pages 33-47

  5. Fertility and Fertility Preservation in Transmasculine Individuals

    • Brett Stark, Viji Sundaram, Evelyn Mok-Lin
    Pages 49-58

  6. Fertility and Fertility Preservation for Transfeminine Adults

    • Jessica Long, James F. Smith, Amanda J. Adeleye
    Pages 59-73

  7. Obstetric, Antenatal, and Postpartum Care for Transgender and Nonbinary People

    • Gnendy Indig, Sebastian Ramos, Daphna Stroumsa
    Pages 75-96

  8. Fertility Preservation in Transgender and Non-binary Youth

    • Rebecca M. Harris, Michelle Bayefsky, Gwendolyn P. Quinn, Leena Nahata
    Pages 97-107

  9. Non-procreative Reproductive Issues and Sexual Function in Transmasculine Individuals

    • Frances Grimstad
    Pages 109-127

  10. Non-procreative Reproductive Issues and Sexual Function in Transfeminine Individuals

    • Kyle R. Latack, Shane D. Morrison, Miriam Hadj-Moussa
    Pages 129-139

  11. Psychosocial Aspects of Reproduction in Transgender and Non-binary Individuals

    • Mariam Maksutova, Angela K. Lawson
    Pages 141-152

  12. Legal Considerations

    • Will Halm, Eliseo Arebalos, Catherine B. McGowan, Rachael J. Bailey, Malina Simard-Halm
    Pages 153-162

  13. Ethical Considerations for Transgender and Non-Binary Reproduction

    • Lisa Campo-Engelstein, Rebecca M. Permar
    Pages 163-175

  14. Creating Inclusive, Gender Affirming Clinical Environments

    • Jen Hastings, Ben Geilhufe, J. M. Jaffe, Jenna Rapues, Colt St. Amand
    Pages 177-207

  15. Back Matter

    Pages 209-211
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Keywords

About this book

There are approximately 1.4 million trans-identified individuals in the US alone, many of whom will undergo gender-affirming medical or surgical interventions to better align their appearance with their gender identity. Multiple major medical societies recommend fertility preservation counseling prior to starting any gender-affirming therapies, but data are limited on the reproductive effects of common gender-affirming hormone regimens. The burden of fertility counseling falls to the hormone providers and surgeons that are encountering these patients, many of whom will not have had adequate training or resources to provide evidence-based recommendations and options. Additionally, many reproductive health care providers are not trained in how to care for gender minorities.

The purpose of this book is to be a reference for clinicians and researchers in the field of transgender medicine, to provide up-to-date data and resources to properly counsel transgender and nonbinary patients about the reproductive consequences of gender-affirming interventions and their options for family-building, and to educate providers about appropriate and culturally competent reproductive health care. Effects of masculinizing and feminizing hormone therapy, as well as the fertility preservation options available, are discussed in detail for both adults and youth. In addition to these medical considerations, both psychosocial, legal and ethical considerations are highlighted for a more well-rounded presentation. A final chapter describes how to create a welcome and accepting clinical environment. 

Such a reference does not currently exist, leading to the propagation of misinformation and encouraging patients to seek nonmedical sources, such as social media, for their information. Reproduction in Transgender and Nonbinary Individuals fills in this gap as a timely text for reproductive endocrinologists, surgeons and all clinical staff working with this population. 

Editors and Affiliations

  • Department of Obstetrics & Gynecology, University of Michigan–Ann Arbor, Ann Arbor, USA

    Molly B. Moravek

  • Obstetrics and Gynecology, Northwest Permanente, Portland, USA

    Gene de Haan

About the editors

Molly B Moravek, MD, MPH, Associate Professor, Department of Obstetrics and Gynecology, Center For Reproductive Medicine, University of Michigan, Ann Arbor, MI, USA


Gene de Haan, MD, Department of Obstetrics and Gynecology, Northwest Permanente, Portland, OR, USA

Bibliographic Information

  • Book Title: Reproduction in Transgender and Nonbinary Individuals

  • Book Subtitle: A Clinical Guide

  • Editors: Molly B. Moravek, Gene de Haan

  • DOI: https://doi.org/10.1007/978-3-031-14933-7

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023

  • Hardcover ISBN: 978-3-031-14932-0Published: 02 February 2023

  • Softcover ISBN: 978-3-031-14935-1Published: 02 February 2024

  • eBook ISBN: 978-3-031-14933-7Published: 01 February 2023

  • Edition Number: 1

  • Number of Pages: VI, 211

  • Topics: Reproductive Medicine

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