Abstract

There is a growing need for healthcare professionals to discuss fertility preservation options with trans and non-binary people before commencing medical transition as part of informed consent-based models of care. In this article, we adapt the Five-A framework of healthcare access to examine fertility preservation information and services. To do so, we present an analysis of data from Counting Ourselves, the first comprehensive national survey in Aotearoa New Zealand of trans and non-binary people’s health and the first study exploring their access to cryopreservation information and services. Among 419 participants who had received gender-affirming hormones or surgery, 33.7% received information about options for fertility preservation and 15.8% accessed fertility preservation services. Findings from the study indicate the need for greater understanding of trans and non-binary people’s desire for genetically related children, and what type of information and form of delivery would be most helpful to ensure equitable outcomes in relation to decision-making around fertility and future family-building.

摘要

作为基于知情同意的护理模式的一部分，医疗保健专业人员越来越需要在开始医疗过渡之前与跨性别和非二元性人群讨论生育力保留方案。在本文中，我们调整了医疗保健访问的 5A 框架来检查生育保留信息和服务。为此，我们对来自Counting Ourselves的数据进行了分析，这是新西兰 Aotearoa 对跨性别和非二元人群健康的第一次全面全国调查，也是第一次探索他们获得冷冻保存信息和服务的研究。在接受过性别确认激素或手术的 419 名参与者中，33.7% 的参与者获得了有关生育力保留选项的信息，15.8% 的参与者获得了生育力保留服务。研究结果表明，需要更多地了解跨性别和非二元人对遗传相关儿童的渴望，以及什么类型的信息和分娩形式最有助于确保与生育和未来决策相关的公平结果家庭建设。