title: Proceedings of the Working Group Session on Fertility Preservation for Individuals with Gender and Sex Diversity.
abstract: Children and adolescents with gender and sex diversity include (1) gender-nonconforming and transgender individuals for whom gender identity or expression are incongruent with birth-assigned sex (heretofore, transgender) and (2) individuals who have differences in sex development (DSD). Although these are largely disparate groups, there is overlap in the medical expertise necessary to care for individuals with both gender and sex diversity. In addition, both groups face potential infertility or sterility as a result of desired medical and surgical therapies. The Ann & Robert H. Lurie Children's Hospital of Chicago (Lurie Children's) gender and sex development program (GSDP) provides specialized multidisciplinary care for both transgender and DSD patients. In response to patient concerns that recommended medical treatments have the potential to affect fertility, the Lurie Children's GSDP team partnered with experts from the Oncofertility Consortium at Northwestern University to expand fertility preservation options to gender and sex diverse youth. This article summarizes the results of a meeting of experts across this field at the annual Oncofertility Consortium conference with thoughts on next steps toward a unified protocol for this patient group.
authors.affiliation: Division of Endocrinology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Courtney
authors.initials: C
authors.lastname: Finlayson
authors.affiliation: Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Urology, Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Emilie K
authors.initials: EK
authors.lastname: Johnson
authors.affiliation: Division of Adolescent Medicine, Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.; Department of Psychiatry & Behavioral Sciences, Northwestern University Feinberg School of Medicine Chicago, Chicago, Illinois.
authors.forename: Diane
authors.initials: D
authors.lastname: Chen
authors.affiliation: Division of Endocrinology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Dabrowski
authors.affiliation: Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.; Division of Hematology/Oncology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Gosiengfiao
authors.affiliation: Department of Obstetrics and Gynecology, Alden March Bioethics Institute, Albany Medical College, Albany, New York.
authors.forename: Lisa
authors.initials: L
authors.lastname: Campo-Engelstein
authors.affiliation: Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Ilina
authors.initials: I
authors.lastname: Rosoklija
authors.affiliation: Division of Endocrinology, Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
authors.forename: Jill
authors.initials: J
authors.lastname: Jacobson
authors.affiliation: Division of Urology, Seattle Children's Hospital, Department of Urology, University of Washington Seattle, Seattle, Washington.
authors.forename: Margarett
authors.initials: M
authors.lastname: Shnorhavorian
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Mary Ellen
authors.initials: ME
authors.lastname: Pavone
authors.affiliation: Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Molly B
authors.initials: MB
authors.lastname: Moravek
authors.affiliation: Division of Adolescent Medicine, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
authors.forename: Herbert J
authors.initials: HJ
authors.lastname: Bonifacio
authors.affiliation: Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.; Division of Adolescent Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Lisa
authors.initials: L
authors.lastname: Simons
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, Florida.
authors.forename: Janella
authors.initials: J
authors.lastname: Hudson
authors.affiliation: Division of Endocrinology, Department of Pediatrics, Seattle Children's Hospital, University of Washington Seattle, Seattle, Washington.
authors.forename: Patricia Y
authors.initials: PY
authors.lastname: Fechner
authors.affiliation: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, MedStar Washington Hospital Center/Children's National Health System, Washington, District of Columbia.
authors.forename: Veronica
authors.initials: V
authors.lastname: Gomez-Lobo
authors.affiliation: Division of Endocrinology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Rachel
authors.initials: R
authors.lastname: Kadakia
authors.affiliation: Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Angela
authors.initials: A
authors.lastname: Shurba
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Erin
authors.initials: E
authors.lastname: Rowell
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Teresa K
authors.initials: TK
authors.lastname: Woodruff
keywords: disorders of sex development; fertility; gender dysphoria; intersex; transgender