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New tool assesses trans young people’s interest in having kids post-transition

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A new tool seeks to map the interest of trans young people in the long-term impact of their transition on long-term fertility.

A questionnaire launched by the Children’s National Health System asks for input from trans young people and their families.

The Transgender Youth Fertility Attitudes Questionnaire and a pilot study accompanying the tool asked for input from trans people on putting together questions to gather data.


The tool aims to provide medical professionals to better support trans young people.

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It also has the aim of helping trans young people to understand the way transition can affect fertility long-term.

“When we are talking about treatments that may be lifesaving to a transgender person, we also discuss the ways it could change their life,” says Dr John Strang, a neuropsychologist at Children’s National Health System, the lead author of the study.

“Gender-related medical approaches may impact fertility for a lifetime–and while it may not matter to someone now, it might in the future. This new tool will help us understand how our youth feel about these issues and questions, so we know when it is appropriate to discuss choices.”

It aims to find out the young person’s knowledge about fertility risks, their thoughts and feelings about having biological children and the knowledge of fertility preservation services.

Although it builds on existing approaches, the questionnaire is a first-of-its-kind approach with questions tailored to trans young people.

It also considers sub-populations within the youth trans community such as autistic people.

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