{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:40:10Z","timestamp":1790613610357,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:00:00Z","timestamp":1649203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess parenting intentions, knowledge and attitudes regarding fertility preservation, and barriers to achieving parenthood in an adult transgender population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a multi\u2010center online cross\u2010sectional study conducted at three university\u2010affiliated and 15 community\u2010affiliated clinics within a major US city. Inclusion criteria included being aged 18\u2009years and older and self\u2010identification as transgender, gender non\u2010conforming or non\u2010binary. Eighty respondents completed a 36\u2010question survey regarding their transition and plans to achieve parenthood. We compared demographic characteristics to plan for transition using Chi\u2010Square analysis. We compared options to achieve parenthood to plans for transition using ANOVA, Spearman\u2019s rho correlation coefficient, and a Kruskal Wallis <jats:italic>H<\/jats:italic> test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean desire to become a parent was 59.9 on a scale of 1\u2013100. There was no significant association between plan for gonadectomy and reduced preference for the use of autologous gametes for parenting [<jats:italic>H<\/jats:italic>(2)\u00a0=\u00a01.309, <jats:italic>P\u2009=<\/jats:italic>\u00a00.520]. The desire to have children was correlated with an increasing willingness to pause cross\u2010sex hormones (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub>\u00a0=\u20090.40, <jats:italic>P\u2009&lt;<\/jats:italic>\u00a00.01). Cost was identified as the largest barrier to fertility preservation (54.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of transgender adults surveyed desire parenthood and this could be correlated with plan for transition including willingness to suspend cross\u2010sex hormones.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14194","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T07:20:43Z","timestamp":1648192843000},"page":"557-562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Parenting intentions in transgender and gender\u2010nonconforming adults"],"prefix":"10.1002","volume":"159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6763-6869","authenticated-orcid":false,"given":"James J.","family":"Morong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3897-1318","authenticated-orcid":false,"given":"Quetzal A.","family":"Class","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberuni Musa","family":"Zamah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Section of Reproductive Endocrinology and Infertility The University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Hinz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Illinois at Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.12.012"},{"key":"e_1_2_8_3_1","unstructured":"Standards of Care.World Professional Association of Transgender Health. 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