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Clinical Track
Jen Hastings, MD
Assistant Clinical Professor
UCSF Department of Family and Community Medicine
UCSF Department of Family and Community Medicine
Nothing to disclose
Diane Ehrensaft, Ph.D.
Developmental and Clinical Psychologist, Director of Mental Health Child and Adolescent Gender Center
Associate Professor of Pediatrics UCSF
Nothing to disclose
Description of format
Interdisciplinary panel presentation with opportunity for questions and discussion.
Summary of discussion topic
Medical decisions, including hormones, puberty blockers and surgeries, through the lens of fertility options will be addressed. This will include: prefacing fertility discussions with an acknowledgement of the myriad pathways to family building and parenthood; emphasizing mindfulness to discomforts that fertility discussions can generate for transgender and gender expansive youth and adults; and issues of optimal protocols for conducting fertility discussions with patients and family members. Information will be provided on ongoing research with implications for expanded fertility options for transgender and gender nonbinary patients seeking gender-affirming medical interventions.
Target audience
Medical, mental health, and legal providers; educators, advocates, community members.
Conclusions
Fertility options must be discussed with clients and families as decisions are made about puberty blockers, hormones and surgeries even though much is unknown and the conversations can be challenging. Fertility options are rapidly changing, with modest improvements in access. Providers have an obligation to continue to learn about advances in assistive reproductive technologies, educate and discuss these advances with patients, and advocate for increases in coverage.