Purpose

No educational and decision support tools exist to aid transgender and non-binary (TNB) adolescents and young adults (AYA) in making decisions about fertility preservation in the context of initiating gender-affirming medical care that can impair fertility. This study identified critical content areas and learning objectives to include in a decision aid about fertility preservation targeted for TNB AYA.

Methods

Delphi methodology was leveraged to engage 80 multidisciplinary experts in reproductive medicine and pediatric transgender health care in a two round consensus building procedure. Proposed content areas rated as “probably keep” or “definitely keep” by 75% of experts were retained. Proposed learning objectives reaching 75% agreement on ratings of importance and priority were also identified.

Results

The Delphi procedure identified five priority content areas (Basic Reproduction; Gender-Affirming Medical Interventions: Impacts on Fertility; Established Fertility Preservation Options; Benefits and Risks of Established Fertility Preservation Procedures; Alternative Pathways to Parenting) and 25 learning objectives to prioritize in a fertility-related decision aid for TNB AYA.

Conclusion

A multidisciplinary panel of experts achieved agreement around content areas and learning objectives to incorporate into a decision aid about fertility preservation for TNB AYA.

中文翻译：

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跨性别青少年和年轻人生育决策辅助的形成性发展：多学科德尔菲共识研究

目的

不存在教育和决策支持工具来帮助跨性别和非二元 (TNB) 青少年和年轻人 (AYA) 在启动可能损害生育能力的性别肯定医疗的背景下做出关于保留生育能力的决定。该研究确定了关键内容领域和学习目标，以包含在针对 TNB AYA 的关于生育力保存的决策帮助中。

方法

在两轮共识建立程序中，利用德尔福方法吸引了 80 名生殖医学和儿科跨性别保健方面的多学科专家。被 75% 的专家评为“可能保留”或“肯定保留”的拟议内容领域被保留。还确定了对重要性和优先级评级达成 75% 一致性的拟议学习目标。

结果

德尔福程序确定了五个优先内容领域（基本生殖；性别肯定医学干预：对生育的影响；既定的生育保护方案；既定生育保护程序的好处和风险；育儿的替代途径）和 25 个优先考虑生育的学习目标与 TNB AYA 相关的决策帮助。

结论

一个多学科专家小组就内容领域和学习目标达成了一致意见，将其纳入有关 TNB AYA 生育保护的决策帮助中。