The uterus in transgender men

Carbonnel, Marie; Karpel, L.; Cordier, B.; Pirtea, Paul; Ayoubi, Jean Marc

doi:10.1016/j.fertnstert.2021.07.005

Cited by 18 publications

(12 citation statements)

References 30 publications

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“…In cases of hysterectomy for gender-affirming surgery when the uterus is normal, the organ could be re-used for uterus transplantation [ 28 ]. This has already been suggested in a Turkish survey showing that 26/31 male transgenders wanted to donate their uterus for uterus transplantation [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Transgender Males as Potential Donors for Uterus Transplantation: A Survey

Carbonnel

Karpel

Corruble

et al. 2022

JCM

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Uterus transplantation is a new treatment for patients with absolute uterine infertility that is conducted in order to enable them to carry their own pregnancy. One of the limitations for its development is donor availability. Some transgender males undergo a hysterectomy in the gender-affirming surgery process, and might be interested in donating their uterus for transplantation. In this manuscript, we report the results of a survey designed to determine the attitudes of such individuals regarding donation of their uterus for this purpose. Over 32 years (January 1989–January 2021), 348 biological women underwent hysterectomy at our hospital as part of gender-affirming surgery. The survey was sent to 212 of the 348 prospective participants (for 136, we lacked postal or email addresses). Among the 212 surveys sent, we obtained responses from 94 individuals (44%): 83 (88.3%) stated they would agree to donate, of whom 44 would do so for altruism, 23 for the usefulness of the gesture and 16 out of understanding of the desire to have a child; 63 (75.5%) wanted to know the recipient and 45 (54.2%) wanted to know the result of the donation. According to this survey, a high proportion of transgender males surveyed would be interested in donating their uterus for uterus transplantation.

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Section: Discussionmentioning

confidence: 99%

Transgender Males as Potential Donors for Uterus Transplantation: A Survey

Carbonnel

Karpel

Corruble

et al. 2022

JCM

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“…The second twin was also in cephalic presentation and displayed biometry of BPD 69.5, HC 283.7, AC 242.4, and FL 55. 3, with an estimated fetal weight of 1300 grams (percentile 1 for gestational age, Hadlock), as well as normal amniotic fluid (maximum vertical pocket of 4.8 cm). The color Doppler study showed an intermittent absent end-diastolic flow of the umbilical artery of both twins.…”

Section: Case Reportmentioning

confidence: 99%

“…Transgender men display a divergence between the female genetic sex and the gender male identity [ 1 ]. The gender-affirming process often includes gender-affirming hormone therapy (GAHT) [ 1 , 2 ] as well as gender-affirming surgery (GAS) [ 1 , 3 ]. GAHT is based on the use of testosterone and its derivatives to provide transgender men the longing masculine appearance [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…GAHT is based on the use of testosterone and its derivatives to provide transgender men the longing masculine appearance [ 1 , 2 ]. GAS may include mastectomy, genital reconstruction, and hysterectomy with or without salpingo-oophorectomy [ 1 , 3 , 4 ]. Interestingly, it has been described that the vast majority of transgender men retain their female reproductive organs and, hence, their potential ability to become pregnant [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Early Fetal Growth Restriction of Both Twins in a Transgender Man

Martínez-Varea

Martínez-Sáez

Tarrazó-Millet

et al. 2022

Case Reports in Obstetrics and Gynecology

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Gender dysphoria affects 0.5% of people worldwide. Transgender men display a divergence between the female genetic sex and the gender male identity. To the best of our knowledge, we describe the first case report with regard to a transgender man with a dichorionic diamniotic twin pregnancy obtained by artificial insemination using donor sperm as a monoparental family, presenting early fetal growth restriction of both twins. The patient is a 35-year-old transgender man who had previously received gender-affirming hormone therapy based on testosterone for five years and had a prior bilateral mastectomy as gender-affirming surgery. Whether assisted reproductive techniques have any influence on obstetrical outcomes among these patients and whether prior long-term intake of gender-affirming hormone therapy has an impact on pregnancy and obstetrical outcomes remain to be elucidated.

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“…Added to the above stressors are the logistical issues of financing reproductive care, from assisted reproductive technology procedures like in vitro fertilisation to finding healthcare professionals trained in the needs of this population 1,10 . For those pursuing medical or surgical gender‐affirming treatment, comprehensive fertility counselling is a clinical necessity 29 . Although the fiscal costs of reproductive care may be high, the psychological costs for transgender men may be higher still.…”

Section: Clinical Perspectivesmentioning

confidence: 99%