Gender Dysphoria, Adolescent
Conditions
Keywords
Testicular sperm extraction, Fertility preservation, Puberty suppresion
Brief summary
The goal of this observational cohort study is to identify and predict parameters for successful testicular sperm extraction (TESE) procedures or semen cryopreservation more accurately and to evaluate the decision making process and the experience of postponing or temporarily discontinuing puberty suppression to undergo successful fertility preservation. in transfeminine (assigned male at birth) adolescents. The main question\[s\] it aims to answer are: * What is the optimal timing for fertility preservation before the start or after temporarily discontinuing puberty suppression puberty suppression * How do transfeminine adolescents and their parents experience the decision making process of fertility preservation * how do transfeminine adolescents and their parents experienced postponing or temporarily discontinuing puberty suppression to undergo successful fertility preservation? Participants will be asked to use their medical data, answer a questionnaire or participate in a (online) interview.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Before start of puberty suppresion with a wish for fertility preservation * After discontinuing puberty suppersion before the start of hormone therapy
Exclusion criteria
* Tanner stage \> 4/5
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| What parameter is best in predicting successful fertility preservation (i.e. spermatazoa are present) | Most recent before the TESE of semen cryopreservation no longer than 3 months old | Testicular volume |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| How do adolescents and parents experience fertility preservation | After refferal to fertility preservation specialist, after every 3 months after the start of Tanner 2, 1 month after the fertility preservation. | self-constructed questionnaires and semi-structed interviews |
Countries
Netherlands