Fertility preservation and sperm donation in transgender individuals: The current situation within the French CECOS network

Eustache, Francis; Drouineaud, Véronique; Mendes, Nicolas; Delépine, B; Dupont, Charlotte; Mirallié, S.; Papaxanthos, Aline; Metzler‐Guillemain, Catherine; Rives-Feraille, Aurélie; Magnan, Fanny; Grèze, Cécile; Hennebicq, Sylviane; Koscinski, Isabelle; Drapier, Hortense; Frapsauce, Cynthia; Mayeur, Anne; Carlotti, Marie-Ange; Mons, Joffrey; Schmitt, Françoise; May‐Panloup, Pascale; Blagosklonov, Oxana; Brugnon, Florence; Mestres, Stéphanie; Cabry, Rosalie; Fauque, Patricia; Loup-Cabaniols, Vanessa; Ravel, Célia; Lévy, Rachel; Patrat, Catherine; Thibault, Emmanuelle; Frydman, Nelly; Bujan, Louis; Morinière, Catherine; Ducrocq, Bérengère; Rives, Nathalie

doi:10.1111/andr.13075

Cited by 12 publications

(7 citation statements)

References 31 publications

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“…The report of the Biomedicine Agency on FP activity showed that 90% of MFP procedures with medical indication (cancer or other) are performed in the CECOS network centres. This result confirms the data assessed by a previous national study [ 31 ] and shows that the patient’s pathway for MFP before cancer treatment in France is mainly oriented towards CECOS network centres.…”

Section: Discussionsupporting

confidence: 91%

Efficient pathway for men fertility preservation in testicular cancer or lymphoma: a cross-sectional study of national 2018 data

Prades,

Jos,

Saïas-Magnan

et al. 2023

Basic Clin. Androl.

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Background In 15–49 years-old men, the main cancers are testicular cancer (TC) and lymphomas (L): freezing of ejaculated sperm is primarily used for male fertility preservation (FP) before cancer treatment. Our objective was to analyze the French FP rate in 15–49 years-old men diagnosed with TC or L in 2018. We designed a national descriptive cross-sectional study of sperm banking rate in men with a diagnosis of TC, Hodgkin L (HL) or non-Hodgkin L (NHL). From the French National Cancer Institute (INCa) 2018 data, we extracted the estimated incidence of TC and L in metropolitan France. From the 2018 activity report of CECOS network (Centers for Study and Banking of Eggs and Sperm), we extracted the number of men with TC or L who banked ejaculated sperm. We estimated the proportion of 15–49 years-old men diagnosed with TC or L who banked sperm. Results Among 15–49 years-old men, INCa estimated 38,048 new cancer diagnoses in metropolitan France in 2018: 2,630 TC and 3,913 L (943 HL and 2,970 NHL). The CECOS network provided data from 26/27 metropolitan centers (96% response rate): 1,079 sperm banking for men with TC, 375 for HL and 211 for NHL. We estimated that the 2018 sperm banking rate in France was 41% for TC, 40% for HL, and 7% for NHL. Conclusions To our knowledge, our paper is the first cross-sectional study with multicenter and national data analyzing FP rate in cancer men: it suggests an efficient pathway for men to FP before cancer treatment, compared to previously published studies. Although sperm banking rate in 15–49 years-old men could definitely be improved, further studies should evaluate the information given to patients before gonadotoxic treatments, the factors associated with the absence of sperm banking and whether this lack of referral induces a loss of chance for these men.

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Section: Discussionsupporting

confidence: 91%

Efficient pathway for men fertility preservation in testicular cancer or lymphoma: a cross-sectional study of national 2018 data

Prades,

Jos,

Saïas-Magnan

et al. 2023

Basic Clin. Androl.

Self Cite

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show abstract

“…La loi de Bioéthique du 02/08/2021 précise explicitement que « La modification de la mention du sexe à l'état civil ne fait pas obstacle à l'application du présent article [L.2141-11] ». Les centres autorisés pour la préservation de la fertilité proposent la préservation de fertilité aux personnes Trans [15].…”

Section: La Préservation De Fertilité Chez Les Personnes Transunclassified

“…Chez la femme Trans pubère, la relative facilité d'obtention des spermatozoïdes par masturbation permet de proposer facilement une congélation de spermatozoïdes éjaculés. La technique de congélation est efficace [15]. La qualité initiale du recueil de sperme ainsi que la survie des spermatozoïdes à la décongélation conditionnent la technique d'AMP réalisable avec ces spermatozoïdes congelés.…”

Section: B : Recommandations Pour Les Personnes Trans Assignées « Hom...unclassified

Préservation de la fertilité et accès à l’assistance médicale à la procréation chez les personnes Trans : recommandations de Trans Santé France

Brouillet¹,

Ducrocq²,

Mestres³

et al. 2022

Gynécologie Obstétrique Fertilité & Sénologie

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“…15 They found that levels of inhibin B, but not anti-Mullerian hormone, that transgender women were more likely to desire and achieve fertility preservation than transgender men. 16 Bonan et al describe the characteristics and intentions of couples involving a transgender man and cisgender female partner. 17 Finally, Aldridge et al conducted a prospective study over 18 months to assess the role of gender-affirming hormone therapy on depression and anxiety symptoms.…”

Section: Yuan Et Al Describe How Burdensome Insurance Company Require...mentioning

confidence: 99%

“…Eustache et al. found that transgender women were more likely to desire and achieve fertility preservation than transgender men 16 . Bonan et al.…”

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confidence: 99%

The growing and interdisciplinary field of transgender health

Irwig

2021

Andrology

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Fertility preservation and sperm donation in transgender individuals: The current situation within the French CECOS network

Abstract: Bérengère Ducrocq and Nathalie Rives both contributed as last co-authors.

Cited by 12 publications

References 31 publications

Efficient pathway for men fertility preservation in testicular cancer or lymphoma: a cross-sectional study of national 2018 data

Efficient pathway for men fertility preservation in testicular cancer or lymphoma: a cross-sectional study of national 2018 data

Préservation de la fertilité et accès à l’assistance médicale à la procréation chez les personnes Trans : recommandations de Trans Santé France

The growing and interdisciplinary field of transgender health

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