Reproductive endocrinologist and infertility specialists' knowledge, skills, behaviors, and attitudes regarding the care for transgender and gender-diverse individuals.

Content Provider	Europe PMC
Author	Lipkin, Pip Monseur, Brent Mayo, Jonathan Moravek, Molly Nahata, Leena Amato, Paula Alvero, Ruben Obedin-Maliver, Juno
Copyright Year	2023
Abstract	ObjectiveTo investigate associations between reproductive endocrinology and infertility (REI) providers’ prior training and current knowledge, skills, attitudes, and behaviors regarding fertility preservation and family building for transgender and gender-diverse (T/GD) patients.DesignThe survey was distributed to members of the Society for Reproductive Endocrinology and Infertility, the REI-physician-focused professional body within the American Society for Reproductive Medicine, with additional participants recruited through snowball sampling.ResultsParticipants (n = 206) reported on training in T/GD care; 51% endorsed prior training. Most participants (93%) believed T/GD individuals were as fit for parenthood as cisgender individuals. Prior training was associated with an increased likelihood of offering T/GD health resources and more frequent consultations with specialist colleagues.Common barriers to providing care indicated by respondents included cost, delays in gender-affirming care, and lack of knowledge of the potential impact of hormonal interventions. Common facilitators included education and training, prior experience, and affordability of services.ConclusionsMost REI providers believed T/GD individuals are fit for parenthood and agreed that prior training facilitates care for T/GD patients. The lack of provider knowledge emerged as a barrier to care. Although training helped facilitate some components of care, systemic barriers such as the cost and variability of patient population characteristics/experiences are important considerations when serving T/GD individuals.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10310934&blobtype=pdf
Journal	F&S Reports [F S Rep]
Volume Number	4
DOI	10.1016/j.xfre.2023.03.009
PubMed Central reference number	PMC10310934
Issue Number	2
PubMed reference number	37398621
e-ISSN	26663341
Language	English
Publisher	Elsevier
Publisher Date	2023-05-29
Access Restriction	Open
Rights License	This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). © 2023 Published by Elsevier Inc. on behalf of American Society for Reproductive Medicine.
Subject Keyword	Transgender fertility fertility preservation LGBTQ+ education family building
Content Type	Text
Resource Type	Article
Subject	Embryology Obstetrics and Gynecology Reproductive Medicine