PT - JOURNAL ARTICLE AU - Lyne Noelle Chiniara AU - Christine Viner AU - Mark Palmert AU - Herbert Bonifacio TI - Perspectives on fertility preservation and parenthood among transgender youth and their parents AID - 10.1136/archdischild-2018-316080 DP - 2019 Aug 01 TA - Archives of Disease in Childhood PG - 739--744 VI - 104 IP - 8 4099 - http://adc.bmj.com/content/104/8/739.short 4100 - http://adc.bmj.com/content/104/8/739.full SO - Arch Dis Child2019 Aug 01; 104 AB - Objective The aim of this study was to investigate the views of young people (YP) with gender dysphoria and their parents concerning fertility preservation and reproductive and life priorities.Design A cross-sectional questionnaire-based study assessed knowledge of potential effects of treatments for gender dysphoria on fertility, current and future life priorities and preferences regarding future fertility/parenting options among YP and parents.Results A total of 79 YP (81% assigned female at birth [AFAB], 19% assigned male at birth [AMAB], aged 12–18 years, 68% between ages 16 years and 18 years) and 73 parents participated. The top current life priority for YP among eight options was being in good health; the least important priority was having children. Anticipated life priorities 10 years from now were ranked similarly. Parents’ rankings paralleled the YP responses; however, parents ranked having children as a significantly higher priority for AFAB compared with AMAB YP in 10 years. The majority of YP (66% AFAB, 67% AMAB) want to be a parent in the future. However, most do not envision having a biological child. A large majority (72% AFAB, 80% AMAB) were open to adoption. None of the YP surveyed pursued fertility preservation.Conclusion Fertility is a low current and future life priority for transgender YP. The majority of YP wish to become parents but are open to alternative strategies for building a family. These data may explain in part the reported low rates of fertility preservation among this population. Further studies are needed to assess if life priorities change over time.