{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T11:15:56Z","timestamp":1783595756907,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Division of Gynecology at Boston Children\u2019s Hospital"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>For many transgender young adults considering gender affirming hysterectomy, discussions may begin prior to the age of 18. However, the extent of their relevant understanding is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Determining whether transgender men who started testosterone during adolescence correctly understand their reproductive anatomy and the nature and implications of hysterectomy with or without oophorectomy as well as the extent of their recalled counseling and related beliefs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous REDCap survey, sent both through community message boards and the Prolific survey platform, assessing knowledge of and experiences with reproductive and sexual health care in the context of gender affirming care. Analyses were descriptive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 125 respondents, most had initiated testosterone between age 17 and 18 (n=85,6\n                      <jats:italic toggle=\"yes\">7<\/jats:italic>\n                      %). Roughly two-thirds (n=80, 64%) wanted or had had a hysterectomy, but only 48% (n=60) wanted or had had an oophorectomy. The majority correctly identified the purpose of the uterus (n=116, 93%) and ovaries (n=88, 70%) ovaries, as well as their physical relationship to each other (n=103, 82%). Fewer correctly defined a hysterectomy (n=78, 64%). Only a third of our respondents reported ever being counseled about the uterus (n=42, 35%) and the ovaries (n=43, 36%). Roughly one-third recalled counseling about testosterone\u2019s effects on the uterus and ovaries, primarily by their testosterone prescriber. Most people were uncertain of their knowledge of surgical requirements, but those who felt confident enough to state beliefs tended to be correct.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most respondents who started testosterone prior to 18 had basic knowledge of the function and location of the uterus and ovaries, with less knowledge about gender-affirming surgeries. There is a need for clear guidelines to inform clinical counseling in adolescence, as transgender patients may start thinking about hysterectomy for gender affirmation during adolescence, even if the procedure is not accessible until they reach majority.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261465048","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T05:41:14Z","timestamp":1783402874000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A survey of reproductive anatomy and gender affirming hysterectomy knowledge among transgender men who started testosterone at or before 18 years old"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2442-724X","authenticated-orcid":false,"given":"Frances W.","family":"Grimstad","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emile","family":"Redwood","sequence":"additional","affiliation":[{"name":"New York University"},{"name":"NYU Grossman Long Island School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Til","family":"Parsa","sequence":"additional","affiliation":[{"name":"University of Vermont Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4982-1323","authenticated-orcid":false,"given":"Elizabeth R.","family":"Boskey","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"The Report of the 2015 US Transgender Survey","author":"James SE","year":"2016","unstructured":"James SE, Herman JL, Keisling M, et al. The Report of the 2015 US Transgender Survey. National Center for Transgender Equality, 2016."},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2021.03.014"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdad135"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2021.01.018"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2022.09.002"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002936"},{"issue":"22","key":"e_1_3_7_8_2","first-page":"S1083","article-title":"Young adult patients with testosterone management concerns after gender-affirming hysterectomy and bilateral oophorectomy: a case series","volume":"36","author":"Barrera EP","year":"2022","unstructured":"Barrera EP, Grimstad FW, Boskey ER. Young adult patients with testosterone management concerns after gender-affirming hysterectomy and bilateral oophorectomy: a case series. J Pediatr Adolesc Gynecol 2022; 36(22): S1083\u2013S3188, Published online July 16. https:\/\/doi.org\/10.1016\/j.jpag.2022.07.010","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdad031"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2022.0090"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001592"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2024.07.007"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2025.02.001"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2006.10.012"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2017-01658"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2100644"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-020-01873-9"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000540"},{"key":"e_1_3_7_21_2","first-page":"421","article-title":"Pregnancy experiences of transgender and gender-expansive individuals: A systematic scoping review from a critical midwifery perspective","volume":"20","author":"Thomas EG","year":"2024","unstructured":"Thomas EG, Goodarzi B, Frese H, et al. Pregnancy experiences of transgender and gender-expansive individuals: A systematic scoping review from a critical midwifery perspective. Birth 2024; 20: 421\u2013434, Published online May. https:\/\/doi.org\/10.1111\/birt.12834","journal-title":"Birth"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2021.04.004"},{"issue":"24","key":"e_1_3_7_23_2","first-page":"S0002","article-title":"Incidence of breakthrough bleeding in transgender and gender diverse individuals on long-term testosterone","volume":"230","author":"Grimstad FW","year":"2024","unstructured":"Grimstad FW, Boskey ER, Clark RS, et al. Incidence of breakthrough bleeding in transgender and gender diverse individuals on long-term testosterone. Am J Obstet Gynecol 2024; 230(24): S0002\u2013S9378, Published online. https:\/\/doi.org\/10.1016\/j.ajog.2023.12.036","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2022.0187"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2024.06.004"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-019-01558-y"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005749"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-017-0976-5"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003816"},{"key":"e_1_3_7_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.08.038"},{"key":"e_1_3_7_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2012.07.014"},{"key":"e_1_3_7_32_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13693422520846"},{"key":"e_1_3_7_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.05.029"},{"key":"e_1_3_7_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2016.03.004"},{"key":"e_1_3_7_35_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-027722"},{"key":"e_1_3_7_36_2","unstructured":"Two classes of trans kids are emerging \u2013 those who have access to puberty blockers and those who don\u2019t. The Conversation. 2021. Accessed April 24 2025.https:\/\/theconversation.com\/two-classes-of-trans-kids-are-emerging-those-who-have-access-to-puberty-blockers-and-those-who-dont-157750"},{"key":"e_1_3_7_37_2","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2021.0116"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261465048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057261465048","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261465048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:17:58Z","timestamp":1783592278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057261465048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":36,"alternative-id":["10.1177\/17455057261465048"],"URL":"https:\/\/doi.org\/10.1177\/17455057261465048","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"17455057261465048"}}