Gender-affirming hormone therapy is increasingly available to support healthy development of transgender (trans) youth, but ethical concerns have been raised regarding fertility-related implications. In this article, I present data from an exploratory qualitative study of the decision-making experiences of trans youth, parents of trans youth, and healthcare providers serving trans youth related to fertility and family creation. I discuss how cisnormative and bionormative biases can impact care and contribute to ethically problematic narratives of regret. Finally, I offer recommendations to support ethically sound, gender-affirmative fertility and family creation counseling with transgender youth.

中文翻译：

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遗憾的叙述：抵制生育力和跨性别青年的家庭创建咨询中的顺式和生物规范性偏见

确认性别的激素疗法越来越多地用于支持跨性别（trans）青年的健康发展，但人们对生育相关的影响提出了伦理问题。在本文中，我展示了一项探索性定性研究的数据，该研究对跨性别青年、跨性别青年的父母以及为跨性别青年提供与生育和家庭创造相关的服务的医疗保健提供者的决策经验进行了研究。我讨论了顺式规范和生物规范偏见如何影响护理并促成道德上有问题的遗憾叙述。最后，我提出建议，以支持跨性别青年的道德合理、性别肯定的生育和家庭创建咨询。