Summary Fertility preservation has become a hot issue in transgender medicine. Today counseling on this aspect prior to the start of treatment is regarded mandatory. However, reproductive consequences and options…
Summary This chapter reviews fertility preservation options and procedures for trans female persons, since gender-affirming hormone therapy has a clear negative impact on steroidogenesis and spermatogenesis. Established urological procedures for…
Summary Pubertal suppression is a treatment option for minors with gender incongruity and dysphoria and is recommended by the World Professional Association for Transgender Health (WPATH) and Endocrine Society. Unfortunately,…
Summary Multiple factors should be considered when counseling trans masculine (TM) individuals on fertility preservation (FP) options, including age at referral, presence of dysphoria, anticipated timeline for gender-affirming treatment (GAT),…
Summary This chapter provides an overview of the hormonal and surgical interventions available to transgender and nonbinary (TNB) people, what is known about how these interventions affect fertility, fertility preservation…
Summary Trauma-informed care has become a standard of care in many medical and mental health settings around the world. Trauma-informed care is a framework through which providers and staff attempt…
Summary Colpectomy and vaginectomy are synonymous. Some patients may prefer the term colpectomy because the term “vagina” may be tainted. Parallel to the growing numbers of transmen transitioning, an increasing…
Summary Unintended pregnancies among transgender men undergoing gender-affirming hormonal treatments (GAHTs) with testosterone (T) have been reported, and T cannot be considered a contraceptive method, due to the incomplete suppression…
Summary The sexual lives of trans and gender diverse people (TGD) have historically been over-medicalized and (psycho-)pathologized. Moreover, heteronormative principles often guided transition-related care. People and/or institutions often have the…
Summary Despite aggressive treatment, ovarian cancer has a poor prognosis. Therefore, there is an urgent need for primary prevention. Recently, the Fallopian tube has been indicated as organ of origin…
