Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands (2024)

Abstract

Purpose: Since 2014 in the Netherlands, sterilization is no longer required for legal gender affirmation. Access to fertility preservation (FP) options is indispensable to grant equal reproductive rights to this population. This study aims to map existing literature on barriers and enabling factors for trans masculine individuals to access FP in the Netherlands after 2014. Methods: A scoping review method was conducted, including a database and a hand search complemented with informal consultations. Literature between 2014 and 2021 was searched. Results: A total of 38 peer-reviewed articles and 22 complementary gray literature sources were retrieved. Thematic analysis identified seven common themes: biological, psychological, training, language, law and legislation, economic, and sociocultural. The themes were clustered as patient-, health care provider (HCP)- and environment-related. Conclusion: The Netherlands offers progressive legislation and accommodating insurance agreements that favor FP for trans masculine individuals. However, the current readiness of HCPs to provide adapted and tailored care is arguable, and the capacity to access appropriate health services for trans masculine individuals is largely nonexistent outside of highly specialized health institutions. The implementation of both formal and informal education training programs for HCPs on transgender and gender diverse health needs-as well as inclusive language use-could benefit this community at large.

Original languageEnglish
Pages (from-to)369-383
Number of pages15
JournalLGBT Health
Volume9
Issue number6
Early online date9 May 2022
DOIs
Publication statusPublished - Sept 2022

Keywords

  • BARRIERS
  • CARE
  • EXPERIENCES
  • GENDER
  • HEALTH
  • Netherlands
  • OUTCOMES
  • PEOPLE
  • PREGNANCY
  • PROVIDERS
  • TRANSGENDER MEN
  • cryopreservation
  • fertility
  • reproductive health
  • trans masculine
  • transgender

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Giacomozzi, M., Health, MS. G., Aubin, S. G., & Brancaccio, M. T. (2022). Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands. LGBT Health, 9(6), 369-383. https://doi.org/10.1089/lgbt.2021.0302

Giacomozzi, Maddalena ; Health, MSc Global ; Aubin, Stéphane G et al. / Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands. In: LGBT Health. 2022 ; Vol. 9, No. 6. pp. 369-383.

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title = "Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands",

abstract = "Purpose: Since 2014 in the Netherlands, sterilization is no longer required for legal gender affirmation. Access to fertility preservation (FP) options is indispensable to grant equal reproductive rights to this population. This study aims to map existing literature on barriers and enabling factors for trans masculine individuals to access FP in the Netherlands after 2014. Methods: A scoping review method was conducted, including a database and a hand search complemented with informal consultations. Literature between 2014 and 2021 was searched. Results: A total of 38 peer-reviewed articles and 22 complementary gray literature sources were retrieved. Thematic analysis identified seven common themes: biological, psychological, training, language, law and legislation, economic, and sociocultural. The themes were clustered as patient-, health care provider (HCP)- and environment-related. Conclusion: The Netherlands offers progressive legislation and accommodating insurance agreements that favor FP for trans masculine individuals. However, the current readiness of HCPs to provide adapted and tailored care is arguable, and the capacity to access appropriate health services for trans masculine individuals is largely nonexistent outside of highly specialized health institutions. The implementation of both formal and informal education training programs for HCPs on transgender and gender diverse health needs-as well as inclusive language use-could benefit this community at large.",

keywords = "BARRIERS, CARE, EXPERIENCES, GENDER, HEALTH, Netherlands, OUTCOMES, PEOPLE, PREGNANCY, PROVIDERS, TRANSGENDER MEN, cryopreservation, fertility, reproductive health, trans masculine, transgender",

author = "Maddalena Giacomozzi and Health, {MSc Global} and Aubin, {St{\'e}phane G} and Brancaccio, {Maria Teresa}",

note = "Publisher Copyright: {\textcopyright} 2022 Mary Ann Liebert, Inc., publishers.",

year = "2022",

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doi = "10.1089/lgbt.2021.0302",

language = "English",

volume = "9",

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Giacomozzi, M, Health, MSG, Aubin, SG & Brancaccio, MT 2022, 'Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands', LGBT Health, vol. 9, no. 6, pp. 369-383. https://doi.org/10.1089/lgbt.2021.0302

Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands. / Giacomozzi, Maddalena; Health, MSc Global; Aubin, Stéphane G et al.
In: LGBT Health, Vol. 9, No. 6, 09.2022, p. 369-383.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands

AU - Giacomozzi, Maddalena

AU - Health, MSc Global

AU - Aubin, Stéphane G

AU - Brancaccio, Maria Teresa

N1 - Publisher Copyright:© 2022 Mary Ann Liebert, Inc., publishers.

PY - 2022/9

Y1 - 2022/9

N2 - Purpose: Since 2014 in the Netherlands, sterilization is no longer required for legal gender affirmation. Access to fertility preservation (FP) options is indispensable to grant equal reproductive rights to this population. This study aims to map existing literature on barriers and enabling factors for trans masculine individuals to access FP in the Netherlands after 2014. Methods: A scoping review method was conducted, including a database and a hand search complemented with informal consultations. Literature between 2014 and 2021 was searched. Results: A total of 38 peer-reviewed articles and 22 complementary gray literature sources were retrieved. Thematic analysis identified seven common themes: biological, psychological, training, language, law and legislation, economic, and sociocultural. The themes were clustered as patient-, health care provider (HCP)- and environment-related. Conclusion: The Netherlands offers progressive legislation and accommodating insurance agreements that favor FP for trans masculine individuals. However, the current readiness of HCPs to provide adapted and tailored care is arguable, and the capacity to access appropriate health services for trans masculine individuals is largely nonexistent outside of highly specialized health institutions. The implementation of both formal and informal education training programs for HCPs on transgender and gender diverse health needs-as well as inclusive language use-could benefit this community at large.

AB - Purpose: Since 2014 in the Netherlands, sterilization is no longer required for legal gender affirmation. Access to fertility preservation (FP) options is indispensable to grant equal reproductive rights to this population. This study aims to map existing literature on barriers and enabling factors for trans masculine individuals to access FP in the Netherlands after 2014. Methods: A scoping review method was conducted, including a database and a hand search complemented with informal consultations. Literature between 2014 and 2021 was searched. Results: A total of 38 peer-reviewed articles and 22 complementary gray literature sources were retrieved. Thematic analysis identified seven common themes: biological, psychological, training, language, law and legislation, economic, and sociocultural. The themes were clustered as patient-, health care provider (HCP)- and environment-related. Conclusion: The Netherlands offers progressive legislation and accommodating insurance agreements that favor FP for trans masculine individuals. However, the current readiness of HCPs to provide adapted and tailored care is arguable, and the capacity to access appropriate health services for trans masculine individuals is largely nonexistent outside of highly specialized health institutions. The implementation of both formal and informal education training programs for HCPs on transgender and gender diverse health needs-as well as inclusive language use-could benefit this community at large.

KW - BARRIERS

KW - CARE

KW - EXPERIENCES

KW - GENDER

KW - HEALTH

KW - Netherlands

KW - OUTCOMES

KW - PEOPLE

KW - PREGNANCY

KW - PROVIDERS

KW - TRANSGENDER MEN

KW - cryopreservation

KW - fertility

KW - reproductive health

KW - trans masculine

KW - transgender

U2 - 10.1089/lgbt.2021.0302

DO - 10.1089/lgbt.2021.0302

M3 - Article

C2 - 35533011

SN - 2325-8292

VL - 9

SP - 369

EP - 383

JO - LGBT Health

JF - LGBT Health

IS - 6

ER -

Giacomozzi M, Health MSG, Aubin SG, Brancaccio MT. Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands. LGBT Health. 2022 Sept;9(6):369-383. Epub 2022 May 9. doi: 10.1089/lgbt.2021.0302

Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands (2024)
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