The Ethics of Fertility Preservation for Pediatric Patients With Differences (Disorders) of Sex Development
Author(s) -
Lisa CampoEngelstein,
Diane Chen,
Arlene B. Baratz,
Emilie K. Johnson,
Courtney Finlayson
Publication year - 2017
Publication title -
journal of the endocrine society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.046
H-Index - 20
ISSN - 2472-1972
DOI - 10.1210/js.2017-00110
Subject(s) - fertility , gender dysphoria , population , fertility preservation , offspring , infertility , developmental psychology , psychology , demography , gynecology , medicine , biology , environmental health , social psychology , pregnancy , genetics , sociology , gender identity
Differences (disorders) of sex development are diverse conditions with variations in chromosomal, gonadal, and/or genital development. Fertility potential in this population is variable. Recent investigations into fertility potential in those previously thought to be infertile suggest that the majority may have fertility potential through experimental protocols. Fertility preservation may be more successful if pursued in childhood. As fertility research and techniques advance, it is important to carefully consider pediatric ethical issues specific to this population, including gonadectomy, consent/assent, experimental treatment and false hope, cost and insurance coverage, genetic transmission to offspring, and gender dysphoria.
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