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Chapter 29 - Obstetrical Care for Trans Persons

from Section E - Fertility and Reproduction

Published online by Cambridge University Press:  22 December 2022

Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

Many men of transgender experience have female reproductive organs and are capable of getting pregnant and carrying out a pregnancy. While the prevalence of pregnancy among transgender men is uncertain, it is likely that the number of pregnancies in this population is increasing and will continue to rise with greater social acceptance, visibility, and healthcare support.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
, pp. 218 - 227
Publisher: Cambridge University Press
Print publication year: 2022

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References

Hoffkling, A, Obedin-Maliver, J, Sevelius, J. From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers. BMC Pregnancy Childbirth 2017;17(Suppl. 2):332.Google Scholar
James, SHJ, Rankin, S, Keisling, M, Mottet, L, Anafi, M. The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality, 2016. Available from: www.transequality.org/sites/default/files/docs/USTS-Full-Report-FINAL.PDFGoogle Scholar
Grant, JML, Tanis, J. Injustice at Every Turn; A Report of the National Transgender Discrimination Survey. National Center for Transgender Equality and National Gay and Lesbian Task Force. Washington DC, 2011.Google Scholar
Light, AO-MJ. Opening the ob/gyn door for sexual and gender minority patients. Contemporary OB/GYN 2019. Available from: www.contemporaryobgyn.net/view/opening-obgyn-door-sexual-and-gender-minority-patients [last accessed May 4, 2022].Google Scholar
Stroumsa, D, Roberts, EFS, Kinnear, H, Harris, LH. The power and limits of classification: a 32-year-old man with abdominal pain. N Engl J Med 2019;380(20):18851888.Google Scholar
Adams, ED. If transmen can have babies, how will perinatal nursing adapt? MCN Am J Matern Child Nurs 2010;35(1):2632.Google Scholar
ACOG Committee on Health Care for Underserved Women. ACOG Committee opinion no. 525: health care for lesbians and bisexual women. Obstet Gynecol 2012;119(5):10771080.CrossRefGoogle Scholar
Potter, J, Peitzmeier, SM, Bernstein, I, et al. Cervical cancer screening for patients on the female-to-male spectrum: a narrative review and guide for clinicians. J Gen Intern Med 2015;30(12):18571864.CrossRefGoogle ScholarPubMed
Trebay, G. He’s pregnant. You’re speechless. The New York Times. June 22, 2008.Google Scholar
Compton, J. Trans dads tell doctors: ‘You can be a man and have a baby’. NBC News [Internet]. May 19, 2019. Available at: www.nbcnews.com/feature/nbc-out/trans-dads-tell-doctors-you-can-be-man-have-baby-n1006906Google Scholar
Noble, F. ‘Male pregnancy’ figures reveal how 54 men gave birth in Australia in the past 12 months.’ Daily Mail. November 15, 2014. Available at: www.dailymail.co.uk/news/article-2836374/Male-pregnancy-figures-reveal-54-MEN-gave-birth-Australia-past-12-months.htmlGoogle Scholar
Brandt, JS, Patel, AJ, Marshall, I, Bachmann, GA. Transgender men, pregnancy, and the “new” advanced paternal age: a review of the literature. Maturitas 2019;128:1721.CrossRefGoogle ScholarPubMed
Moseson, H, Fix, L, Hastings, J, et al. Pregnancy intentions and outcomes among transgender, nonbinary, and gender-expansive people assigned female or intersex at birth in the United States: results from a national, quantitative survey. Int J Transgend Health 2020 (online). https://doi.org/10.1080/26895269.2020.1841058Google Scholar
Hahn, M, Sheran, N, Weber, S, Cohan, D, Obedin-Maliver, J. Providing patient-centered perinatal care for transgender men and gender-diverse individuals: a collaborative multidisciplinary team approach. Obstet Gynecol 2019;134(5):959963.Google Scholar
Bretschneider, CE, Sheyn, D, Pollard, R, Ferrando, CA. Complication rates and outcomes after hysterectomy in transgender men. Obstet Gynecol 2018;132(5):12651273.Google Scholar
Light, AD, Obedin-Maliver, J, Sevelius, JM, Kerns, JL. Transgender men who experienced pregnancy after female-to-male gender transitioning. Obstet Gynecol 2014;124(6):11201127.Google Scholar
Murad, MH, Elamin, MB, Garcia, MZ, et al. Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes. Clin Endocrinol 2010;72(2):214231.CrossRefGoogle ScholarPubMed
Steinle, K. Hormonal management of the female-to-male transgender patient. J Midwifery Womens Health 2011;56(3):293302.CrossRefGoogle ScholarPubMed
Hembree, WC, Cohen-Kettenis, P, Delemarre-van de Waal, HA, et al. Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2009;94(9):31323154.Google Scholar
Garcia-Acosta, JM, San Juan-Valdivia, RM, Fernandez-Martinez, AD, Lorenzo-Rocha, ND, Castro-Peraza, ME. Trans pregnancy and lactation: a literature review from a nursing perspective. Int J Environ Res Public Health 2019;17(1):44.CrossRefGoogle ScholarPubMed
Ellis, SA, Wojnar, DM, Pettinato, M. Conception, pregnancy, and birth experiences of male and gender variant gestational parents: it’s how we could have a family. J Midwifery Womens Health 2015;60(1):6269.Google Scholar
Safer, JD, Tangpricha, V. Care of the transgender patient. Ann Intern Med 2019;171(1):Itc1itc16.Google Scholar
Martinez, E, Klein, A, Obedin-Maliver, J. Prepregnancy counseling for people of all genders: enhancing safe and accessible family building for transgender, gender diverse, and non-binary individuals. Curr Obstet Gynecol Rep 2020;9:159165.Google Scholar
Grumbach, MM, Ducharme, JR. The effects of androgens on fetal sexual development: androgen-induced female pseudohermaphrodism. Fertil Steril 1960;11:157180.CrossRefGoogle ScholarPubMed
Schardein, JL. Congenital abnormalities and hormones during pregnancy: a clinical review. Teratology 1980;22(3):251270.Google Scholar
McCoy, SJ, Shirley, BA. Effects of prenatal administration of testosterone and cortisone on the reproductive system of the female rat. Life Sci 1992;50(9):621628.Google Scholar
Carlsen, SM, Jacobsen, G, Romundstad, P. Maternal testosterone levels during pregnancy are associated with offspring size at birth. Eur J Endocrinol 2006;155(2):365370.Google Scholar
Gorton, RBJ, Spade, D. Medical Therapy and Health Maintenance for Transgender Men: A Guide for Health Care Providers. San Francisco, CA: Lyon-Martin Women’s Health Services, 2005.Google Scholar
American College of Gynecologists. Good Health Before Pregnancy: Pregnancy Care. 2020.Google Scholar
American College of Gynecologists. Committee Opinion no. 512: health care for transgender individuals. Obstet Gynecol 2011;118(6):14541458.CrossRefGoogle Scholar
Carolan, MC, Davey, MA, Biro, M, Kealy, M. Very advanced maternal age and morbidity in Victoria, Australia: a population-based study. BMC Pregnancy Childbirth 2013;13:80.Google Scholar
Dildy, GA, Jackson, GM, Fowers, GK, et al. Very advanced maternal age: pregnancy after age 45. Am J Obstet Gynecol 1996;175(3 Pt 1):668674.Google Scholar
Brandt, JS, Cruz Ithier, MA, Rosen, T, Ashkinadze, E. Advanced paternal age, infertility, and reproductive risks: a review of the literature. Prenat Diagn 2019;39(2):8187.Google Scholar
Obedin-Maliver, J, Makadon, HJ. Transgender men and pregnancy. Obstet Med 2016;9(1):48.CrossRefGoogle ScholarPubMed
Martin, JA, Hamilton, BE, Osterman, MJK, Driscoll, AK. Births: final data for 2018. Natl Vital Stat Rep 2019;68(13):147.Google Scholar
Reisner, SL, Deutsch, MB, Peitzmeier, SM, et al. Comparing self- and provider-collected swabbing for HPV DNA testing in female-to-male transgender adult patients: a mixed-methods biobehavioral study protocol. BMC Infect Dis 2017;17(1):444.Google Scholar
Reisner, SL, Deutsch, MB, Peitzmeier, SM, et al. Test performance and acceptability of self- versus provider-collected swabs for high-risk HPV DNA testing in female-to-male trans masculine patients. PLoS One 2018;13(3):e0190172.CrossRefGoogle ScholarPubMed
American College of Gynecologists. Committee opinion no. 757: screening for perinatal depression. Obstet Gynecol 2018;132(5):e208–e12.Google Scholar
Flentje, A, Obedin-Maliver, J, Lubensky, ME, et al. Depression and anxiety changes among sexual and gender minority people coinciding with onset of COVID-19 pandemic. J Gen Intern Med 2020;35(9):27882790.Google Scholar
American College of Gynecologists, Society for Maternal-Fetal Medicine. Obstetric care consensus no. 1: safe prevention of the primary cesarean delivery. Obstet Gynecol 2014;123(3):693711.Google Scholar
Beatie, T. Labor of Love: Is Society Ready for this Pregnant Husband? The Advocate [Internet]. April 8, 2008. Available at: www.advocate.com/news/2008/03/14/labor-loveGoogle Scholar
American College of Gynecologists. Committee opinion no. 756: optimizing support for breastfeeding as part of obstetric practice. Obstet Gynecol 2018;132(4):e187–e196.Google Scholar
MacDonald, T, Noel-Weiss, J, West, D, et al. Transmasculine individuals’ experiences with lactation, chestfeeding, and gender identity: a qualitative study. BMC Pregnancy Childbirth 2016;16:106.CrossRefGoogle ScholarPubMed
Wolfe-Roubatis, E, Spatz, DL. Transgender men and lactation: what nurses need to know. MCN Am J Matern Child Nurs 2015;40(1):3238.Google Scholar
Farrow, A. Lactation support and the LGBTQI community. J Hum Lact 2015;31(1):2628.Google Scholar
Testerosterone. LactMed 2019. Available from: www.ncbi.nlm.nih.gov/books/NBK501721/ [last accessed May 4, 2022].Google Scholar
American Academy of Pediatrics (AAP) Committee on Fetus and Newborn and the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice. Guidelines for Perinatal Care 2017. Eds: Kilpatrick SJ, Papile LA, Macones GA. https://doi.org/10.1542/9781610020886Google Scholar
Winner, B, Peipert, JF, Zhao, Q, et al. Effectiveness of long-acting reversible contraception. N Engl J Med 2012;366(21):19982007.Google Scholar
Light, A, Wang, LF, Zeymo, A, Gomez-Lobo, V. Family planning and contraception use in transgender men. Contraception 2018;98(4):266269.Google Scholar
Moseson, H, Zazanis, N, Goldberg, E, et al. The imperative for transgender and gender nonbinary inclusion: beyond women’s health. Obstet Gynecol 2020;135(5):10591068.Google Scholar
Stanford University School of Medicine and University of California SF. The Pride Study 2020. Available from: https://pridestudy.org/ [last accessed May 4, 2022].Google Scholar
Leeds University. Pregnant Men: An International Exploration of Trans Male Practices of Reproduction 2020. Available from: https://essl.leeds.ac.uk/directory_record/337/pregnant-men-an-international-exploration-of-trans-male-practices-of-reproduction [last accessed May 4, 2022].Google Scholar
Jones, BP, Williams, NJ, Saso, S, et al. Uterine transplantation in transgender women. BJOG 2019;126(2):152156.Google Scholar
Hammond-Browning, N. Uterine transplantation in transgender women: medical, legal and ethical considerations. BJOG 2019;126(2):157.Google Scholar
Tardieu, A, Sallée, C, Dion, L, Piver, P, Lavoué, V, Gauthier, T. Uterus transplantation in transgenders: will it happen one day? J Gynecol Obstet Hum Reprod 2019;48(1):56.Google Scholar
Moseson, H, Lunn, MR, Katz, A, et al. Development of an affirming and customizable electronic survey of sexual and reproductive health experiences for transgender and gender nonbinary people. PLoS One 2020;15(5):e0232154.Google Scholar

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