Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey
Purpose To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients. Methods Participants were medical and mental health professionals who treat adult and youth transgender patients. Recrui...
Gespeichert in:
| Veröffentlicht in: | Journal of assisted reproduction and genetics 2019-03, Vol.36 (3), p.579-588 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 588 |
|---|---|
| container_issue | 3 |
| container_start_page | 579 |
| container_title | Journal of assisted reproduction and genetics |
| container_volume | 36 |
| creator | Tishelman, Amy C. Sutter, Megan E. Chen, Diane Sampson, Amani Nahata, Leena Kolbuck, Victoria D. Quinn, Gwendolyn P. |
| description | Purpose
To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients.
Methods
Participants were medical and mental health professionals who treat adult and youth transgender patients. Recruitment occurred online and in person, via professional listservs for transgender professionals, conferences, and gender clinics. From August–November 2017, 110 participants representing nine countries responded to four open-ended questions included on a survey related to provider practice behaviors and perceived barriers to fertility counseling, fertility preservation, and family building with transgender patients. Thematic coding analysis was used to identify themes.
Results
Multiple themes were identified including the following: access and cost issues; urgency for gender-affirming treatment; patient maturity and inability to make future-oriented decisions; and provider-related challenges pertaining to knowledge, role, and general lack of information in the nascent field of transgender reproductive health.
Conclusion(s)
This study yielded insights into practice behaviors, challenges, and perceived barriers to fertility counseling with transgender individuals and can serve as a basis for intervention development to optimize clinical practices with this population. |
| doi_str_mv | 10.1007/s10815-018-1395-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6439053</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2162673607</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-c90733fb987601a62511855086b14d45c1b8276ea63dab321bb8087d62afa9b83</originalsourceid><addsrcrecordid>eNp1ks1u1DAQgCMEou3CA3BBlrhwCfgncRwOSKiiFKkSFzhbTjLZdeW1U9tZlGfiJZndlPIjcbKl-eabGc0UxQtG3zBKm7eJUcXqkjJVMtHW5fKoOGd1I8pGCPoY_7RWJa2kOisuUrqllLaKi6fFmaCSVkzI8-LHNRiXd6Q3EcgUw8EOEMkEsYcp2-ATCSMZIWbrbF6QgATxYI4h0pkYLcREjB9IvzPOgd9CIt8tCnM0Pm3Bn3TIg88rOJo9uiC9I3ezQSnGDkDQO2E1zM4BMWJ9huhPdYwjaY4HWJ4VT0bjEjy_fzfFt6uPXy-vy5svnz5ffrgp-6qhuexbivOPXasaSZmRvGZM1TVVsmPVUNU96xRvJBgpBtMJzrpOUdUMkpvRtJ0Sm-L96p3mbg9Dj61H4_QU7d7ERQdj9d8Rb3d6Gw5aVqKltUDB63tBDHczpKz3NvXgnPEQ5qQ5kwJ3wTlH9NU_6G2YcXB3orhshMRpNgVbqT6GlCKMD80wqo-noNdT0HgK-ngKesGcl39O8ZDxa_cI8BVIGMLFxd-l_2_9CYlVxQQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2162673607</pqid></control><display><type>article</type><title>Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Tishelman, Amy C. ; Sutter, Megan E. ; Chen, Diane ; Sampson, Amani ; Nahata, Leena ; Kolbuck, Victoria D. ; Quinn, Gwendolyn P.</creator><creatorcontrib>Tishelman, Amy C. ; Sutter, Megan E. ; Chen, Diane ; Sampson, Amani ; Nahata, Leena ; Kolbuck, Victoria D. ; Quinn, Gwendolyn P.</creatorcontrib><description>Purpose
To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients.
Methods
Participants were medical and mental health professionals who treat adult and youth transgender patients. Recruitment occurred online and in person, via professional listservs for transgender professionals, conferences, and gender clinics. From August–November 2017, 110 participants representing nine countries responded to four open-ended questions included on a survey related to provider practice behaviors and perceived barriers to fertility counseling, fertility preservation, and family building with transgender patients. Thematic coding analysis was used to identify themes.
Results
Multiple themes were identified including the following: access and cost issues; urgency for gender-affirming treatment; patient maturity and inability to make future-oriented decisions; and provider-related challenges pertaining to knowledge, role, and general lack of information in the nascent field of transgender reproductive health.
Conclusion(s)
This study yielded insights into practice behaviors, challenges, and perceived barriers to fertility counseling with transgender individuals and can serve as a basis for intervention development to optimize clinical practices with this population.</description><identifier>ISSN: 1058-0468</identifier><identifier>ISSN: 1573-7330</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-018-1395-y</identifier><identifier>PMID: 30604136</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Counseling ; Decision Making ; Family - psychology ; Female ; Fertility ; Fertility - physiology ; Fertility Preservation ; Fertility Preservation - psychology ; Gynecology ; Health Personnel - psychology ; Human Genetics ; Humans ; Male ; Medical personnel ; Medicine ; Medicine & Public Health ; Mental disorders ; Patients ; Perceptions ; Preservation ; Professionals ; Reproduction - physiology ; Reproductive health ; Reproductive Medicine ; Surveys and Questionnaires ; Transgender persons ; Transgender Persons - psychology</subject><ispartof>Journal of assisted reproduction and genetics, 2019-03, Vol.36 (3), p.579-588</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Journal of Assisted Reproduction and Genetics is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-c90733fb987601a62511855086b14d45c1b8276ea63dab321bb8087d62afa9b83</citedby><cites>FETCH-LOGICAL-c470t-c90733fb987601a62511855086b14d45c1b8276ea63dab321bb8087d62afa9b83</cites><orcidid>0000-0002-1467-1732</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439053/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439053/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30604136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tishelman, Amy C.</creatorcontrib><creatorcontrib>Sutter, Megan E.</creatorcontrib><creatorcontrib>Chen, Diane</creatorcontrib><creatorcontrib>Sampson, Amani</creatorcontrib><creatorcontrib>Nahata, Leena</creatorcontrib><creatorcontrib>Kolbuck, Victoria D.</creatorcontrib><creatorcontrib>Quinn, Gwendolyn P.</creatorcontrib><title>Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey</title><title>Journal of assisted reproduction and genetics</title><addtitle>J Assist Reprod Genet</addtitle><addtitle>J Assist Reprod Genet</addtitle><description>Purpose
To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients.
Methods
Participants were medical and mental health professionals who treat adult and youth transgender patients. Recruitment occurred online and in person, via professional listservs for transgender professionals, conferences, and gender clinics. From August–November 2017, 110 participants representing nine countries responded to four open-ended questions included on a survey related to provider practice behaviors and perceived barriers to fertility counseling, fertility preservation, and family building with transgender patients. Thematic coding analysis was used to identify themes.
Results
Multiple themes were identified including the following: access and cost issues; urgency for gender-affirming treatment; patient maturity and inability to make future-oriented decisions; and provider-related challenges pertaining to knowledge, role, and general lack of information in the nascent field of transgender reproductive health.
Conclusion(s)
This study yielded insights into practice behaviors, challenges, and perceived barriers to fertility counseling with transgender individuals and can serve as a basis for intervention development to optimize clinical practices with this population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Counseling</subject><subject>Decision Making</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Fertility</subject><subject>Fertility - physiology</subject><subject>Fertility Preservation</subject><subject>Fertility Preservation - psychology</subject><subject>Gynecology</subject><subject>Health Personnel - psychology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Preservation</subject><subject>Professionals</subject><subject>Reproduction - physiology</subject><subject>Reproductive health</subject><subject>Reproductive Medicine</subject><subject>Surveys and Questionnaires</subject><subject>Transgender persons</subject><subject>Transgender Persons - psychology</subject><issn>1058-0468</issn><issn>1573-7330</issn><issn>1573-7330</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1ks1u1DAQgCMEou3CA3BBlrhwCfgncRwOSKiiFKkSFzhbTjLZdeW1U9tZlGfiJZndlPIjcbKl-eabGc0UxQtG3zBKm7eJUcXqkjJVMtHW5fKoOGd1I8pGCPoY_7RWJa2kOisuUrqllLaKi6fFmaCSVkzI8-LHNRiXd6Q3EcgUw8EOEMkEsYcp2-ATCSMZIWbrbF6QgATxYI4h0pkYLcREjB9IvzPOgd9CIt8tCnM0Pm3Bn3TIg88rOJo9uiC9I3ezQSnGDkDQO2E1zM4BMWJ9huhPdYwjaY4HWJ4VT0bjEjy_fzfFt6uPXy-vy5svnz5ffrgp-6qhuexbivOPXasaSZmRvGZM1TVVsmPVUNU96xRvJBgpBtMJzrpOUdUMkpvRtJ0Sm-L96p3mbg9Dj61H4_QU7d7ERQdj9d8Rb3d6Gw5aVqKltUDB63tBDHczpKz3NvXgnPEQ5qQ5kwJ3wTlH9NU_6G2YcXB3orhshMRpNgVbqT6GlCKMD80wqo-noNdT0HgK-ngKesGcl39O8ZDxa_cI8BVIGMLFxd-l_2_9CYlVxQQ</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Tishelman, Amy C.</creator><creator>Sutter, Megan E.</creator><creator>Chen, Diane</creator><creator>Sampson, Amani</creator><creator>Nahata, Leena</creator><creator>Kolbuck, Victoria D.</creator><creator>Quinn, Gwendolyn P.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1467-1732</orcidid></search><sort><creationdate>20190301</creationdate><title>Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey</title><author>Tishelman, Amy C. ; Sutter, Megan E. ; Chen, Diane ; Sampson, Amani ; Nahata, Leena ; Kolbuck, Victoria D. ; Quinn, Gwendolyn P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-c90733fb987601a62511855086b14d45c1b8276ea63dab321bb8087d62afa9b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Counseling</topic><topic>Decision Making</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Fertility</topic><topic>Fertility - physiology</topic><topic>Fertility Preservation</topic><topic>Fertility Preservation - psychology</topic><topic>Gynecology</topic><topic>Health Personnel - psychology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Preservation</topic><topic>Professionals</topic><topic>Reproduction - physiology</topic><topic>Reproductive health</topic><topic>Reproductive Medicine</topic><topic>Surveys and Questionnaires</topic><topic>Transgender persons</topic><topic>Transgender Persons - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tishelman, Amy C.</creatorcontrib><creatorcontrib>Sutter, Megan E.</creatorcontrib><creatorcontrib>Chen, Diane</creatorcontrib><creatorcontrib>Sampson, Amani</creatorcontrib><creatorcontrib>Nahata, Leena</creatorcontrib><creatorcontrib>Kolbuck, Victoria D.</creatorcontrib><creatorcontrib>Quinn, Gwendolyn P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of assisted reproduction and genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tishelman, Amy C.</au><au>Sutter, Megan E.</au><au>Chen, Diane</au><au>Sampson, Amani</au><au>Nahata, Leena</au><au>Kolbuck, Victoria D.</au><au>Quinn, Gwendolyn P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey</atitle><jtitle>Journal of assisted reproduction and genetics</jtitle><stitle>J Assist Reprod Genet</stitle><addtitle>J Assist Reprod Genet</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>36</volume><issue>3</issue><spage>579</spage><epage>588</epage><pages>579-588</pages><issn>1058-0468</issn><issn>1573-7330</issn><eissn>1573-7330</eissn><abstract>Purpose
To examine provider perceptions of practice behaviors and barriers related to fertility counseling, fertility preservation, and family building among transgender patients.
Methods
Participants were medical and mental health professionals who treat adult and youth transgender patients. Recruitment occurred online and in person, via professional listservs for transgender professionals, conferences, and gender clinics. From August–November 2017, 110 participants representing nine countries responded to four open-ended questions included on a survey related to provider practice behaviors and perceived barriers to fertility counseling, fertility preservation, and family building with transgender patients. Thematic coding analysis was used to identify themes.
Results
Multiple themes were identified including the following: access and cost issues; urgency for gender-affirming treatment; patient maturity and inability to make future-oriented decisions; and provider-related challenges pertaining to knowledge, role, and general lack of information in the nascent field of transgender reproductive health.
Conclusion(s)
This study yielded insights into practice behaviors, challenges, and perceived barriers to fertility counseling with transgender individuals and can serve as a basis for intervention development to optimize clinical practices with this population.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30604136</pmid><doi>10.1007/s10815-018-1395-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1467-1732</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1058-0468 |
| ispartof | Journal of assisted reproduction and genetics, 2019-03, Vol.36 (3), p.579-588 |
| issn | 1058-0468 1573-7330 1573-7330 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6439053 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Counseling Decision Making Family - psychology Female Fertility Fertility - physiology Fertility Preservation Fertility Preservation - psychology Gynecology Health Personnel - psychology Human Genetics Humans Male Medical personnel Medicine Medicine & Public Health Mental disorders Patients Perceptions Preservation Professionals Reproduction - physiology Reproductive health Reproductive Medicine Surveys and Questionnaires Transgender persons Transgender Persons - psychology |
| title | Health care provider perceptions of fertility preservation barriers and challenges with transgender patients and families: qualitative responses to an international survey |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T18%3A37%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health%20care%20provider%20perceptions%20of%20fertility%20preservation%20barriers%20and%20challenges%20with%20transgender%20patients%20and%20families:%20qualitative%20responses%20to%20an%20international%20survey&rft.jtitle=Journal%20of%20assisted%20reproduction%20and%20genetics&rft.au=Tishelman,%20Amy%20C.&rft.date=2019-03-01&rft.volume=36&rft.issue=3&rft.spage=579&rft.epage=588&rft.pages=579-588&rft.issn=1058-0468&rft.eissn=1573-7330&rft_id=info:doi/10.1007/s10815-018-1395-y&rft_dat=%3Cproquest_pubme%3E2162673607%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2162673607&rft_id=info:pmid/30604136&rfr_iscdi=true |