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41 transmän som fött barn efter transition: 61 % hade använt testosteron och de flesta blev gravida med egna ägg

Transmän som upplevt graviditet efter kvinna-till-man-transition

EnkäterKönshormoner
Authors
Alexis D. Light, Juno Obedin-Maliver, Jae M. Sevelius, Jennifer L. Kerns
Journal
Obstetrics & Gynecology
Year
2014
Source
https://doi.org/10.1097/AOG.0000000000000540

Summary

Researchers at the University of California, San Francisco ran an online survey of 41 trans men who had become pregnant and given birth after transitioning. They asked about hormone use, fertility, pregnancy care and birth. About six in ten had taken testosterone before the pregnancy, most used their own eggs, half had a doctor for pregnancy care, and most gave birth in hospital. People described health workers who knew little about their situation and wished for better support. The authors concluded that trans men can and do get pregnant after transition and that services should adapt. It was one of the first studies of its kind and is often cited to show fertility can return after stopping testosterone. But it only asked people who did get pregnant, so it cannot say how often testosterone users stay fertile. All answers came from a small, self-selected online group.

Key findings

  • 41 transmän (själv beskrivna) som hade varit gravida och fött barn efter transition fyllde i en nätenkät mellan mars och december 2013.
  • Före graviditeten hade 61 % (25 av 41) tagit testosteron. Att ta hormoner krävdes inte för att delta.
  • I genomsnitt var de 28 när de blev gravida, och 88 % (36) av graviditeterna använde personens egna ägg.
  • Hälften fick graviditetsvård av en läkare, och 78 % födde på sjukhus.
  • I sina skriftliga svar sa människor att vårdpersonal visste lite om gravida transmäns behov, och att de ville ha resurser som stöder dem.
  • Eftersom bara personer som blev gravida tillfrågades visar studien att graviditet efter testosteron är möjlig, men kan inte säga hur ofta fertiliteten återvänder efter testosteron.

Abstract

OBJECTIVE: To conduct a cross-sectional study of transgender men who had been pregnant and delivered after transitioning from female-to-male gender to help guide practice and further investigation.

MATERIALS AND METHODS: We administered a web-based survey from March to December 2013 to inquire about demographics, hormone use, fertility, pregnancy experience, and birth outcomes. Participants were not required to have been on hormone therapy to be eligible. We used a mixed-methods approach to evaluate the quantitative and qualitative data.

RESULTS: Forty-one self-described transgender men completed the survey. Before pregnancy, 61% (n=25) had used testosterone. Mean age at conception was 28 years with a standard deviation of 6.8 years. Eighty-eight percent of oocytes (n=36) came from participants' own ovaries. Half of the participants received prenatal care from a physician and 78% delivered in a hospital. Qualitative themes included low levels of health care provider awareness and knowledge about the unique needs of pregnant transgender men as well as a desire for resources to support transgender men through their pregnancy.

CONCLUSION: Transgender men are achieving pregnancy after having socially, medically, or both transitioned. Themes from this study can be used to develop transgender-appropriate services and interventions that may improve the health and health care experiences of transgender men.

Conclusion

Transgender men are achieving pregnancy after having socially, medically, or both transitioned. Themes from this study can be used to develop transgender-appropriate services and interventions that may improve the health and health care experiences of transgender men.