title: Reproductive wish in transsexual men.
abstract: BACKGROUND
  Hormonal therapy and sex reassignment surgery (SRS) in transsexual persons lead to an irreversible loss of their reproductive potential. The current and future technologies could create the possibility for female-to-male transsexual persons (transsexual men) to have genetically related children. However, little is known about this topic. The aim of this study is to provide information on the reproductive wishes of transsexual men after SRS. METHODS A self-constructed questionnaire was presented to 50 transsexual men in a single-center study.
  
  
  RESULTS
  The majority (64%) of transsexual men were currently involved in a relationship. Eleven participants (22.0%) reported having children. For eight participants, their female partner was inseminated with donor sperm, whereas three participants gave birth before hormonal therapy and SRS. At the time of interview, more than half of the participants desired to have children (54%). There were 18 participants (37.5%) who reported that they had considered freezing their germ cells, if this technique would have been available previously. Participants without children at the time of investigation expressed this desire more often than participants with children (χ²; test: P= 0.006).
  
  
  CONCLUSIONS
  Our data reveal that the majority of transsexual men desire to have children. Therefore, more attention should be paid to this topic during the diagnostic phase of transition and to the consequences for genetic parenthood after starting sex reassignment therapy.
authors: Department of Endocrinology, University Hospital Ghent, De Pintelaan 185, Ghent 9000, Belgium. katrien.wierckx@ugent.be
authors: Katrien
authors: K
authors: Wierckx
authors: Eva
authors: E
authors: Van Caenegem
authors: Guido
authors: G
authors: Pennings
authors: Els
authors: E
authors: Elaut
authors: David
authors: D
authors: Dedecker
authors: Fleur
authors: F
authors: Van de Peer
authors: Steven
authors: S
authors: Weyers
authors: Petra
authors: P
authors: De Sutter
authors: Guy
authors: G
authors: T'Sjoen
mesh_terms: D000328:Adult; D001530:Belgium; D003430:Cross-Sectional Studies; D005260:Female; D059247:Fertility Preservation / Q000523:psychology; D006785:Hospitals, University; D006801:Humans; D007246:Infertility / Q000209:etiology / Q000523:psychology; D007398:Interpersonal Relations; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D010298:Parity; D011788:Quality of Life / Q000523:psychology; D043762:Reproductive Behavior; D057830:Gender-Affirming Surgery / Q000009:adverse effects; D011795:Surveys and Questionnaires; D014189:Transsexualism / Q000523:psychology*; D055815:Young Adult