Ibis Reproductive Health reposted this
I am extremely proud of the Ibis Reproductive Health work that addresses gaps in our understanding of sexual and reproductive health, rights, and justice of transgender, nonbinary, and intersex individuals--check out this new article exploring pathways to parenthood that highlights the need for more attention to this issue and better access to information and services to support people's ability to build the families they dream of. Kudos to my colleague Heidi Moseson who leads this work at Ibis, and our partners, especially at the PRIDE study. #IbisDrivesChange
Research exploring family planning for transgender, nonbinary, and intersex individuals has largely concentrated on contraception, potentially overlooking needs of those who wish to expand their families. To address this research gap, Ibis recently published a study investigating pathways to parenthood, pregnancy outcomes, future pregnancy desire, and fertility counseling for transgender men and gender diverse individuals assigned female or intersex at birth. Researchers analyzed 1,694 survey responses from transgender, nonbinary, or gender diverse people assigned female at birth. The analysis revealed that the most common approach to expanding one’s family was carrying a pregnancy where the individual was the egg source (36%). Notably, gender diverse people were less likely to become parents through adoption compared to their exclusively binary counterparts (i.e. transgender man or man). Despite this, transgender men were more frequently advised to explore fertility preservation options (50%) than non-binary individuals (36%). Across gender identities, a third of the study’s participants received no counseling before initiating testosterone. These findings suggest that clinicians may assume the reproductive desires of transgender men and gender diverse individuals who were assigned female or intersex at birth based on their testosterone use or gender identity. Such assumptions impede access to appropriate support for one's preferred pathway to family. There are a variety of approaches to family planning for folks holding these gender identities including pregnancy, stepparenting, and adoption, and clinicians should always provide fertility counseling before and after hormone initiation. Read the full study here: ow.ly/HX7550T7NE2 #IbisDrivesChange