Transgender and nonbinary individuals are historically underserved by healthcare systems. A crucial area for improvement is fertility preservation counseling and service delivery, as gender-affirming hormone therapy and gender-affirming surgery may negatively affect future fertility. The methods available for fertility preservation depend on the patient's pubertal status and utilization of gender-affirming therapies, and counseling and delivery of these services are complex and require a multidisciplinary approach. Further research is needed to identify pertinent stakeholders in managing the care of these patients, as well as to better understand the optimal frameworks for delivering integrated and comprehensive care to this patient population. Fertility preservation is an active and exciting area of scientific discovery and offers a wealth of opportunities to improve the care of transgender and nonbinary individuals.

中文翻译：

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跨性别者和非二元性个体的生育力保存选择。

跨性别者和非二元性个体历来得不到医疗保健系统的服务。一个关键的改进领域是生育保护咨询和服务提供，因为性别肯定激素疗法和性别肯定手术可能会对未来的生育能力产生负面影响。可用于保留生育能力的方法取决于患者的青春期状态和性别肯定疗法的使用情况，并且这些服务的咨询和提供很复杂，需要多学科方法。需要进一步研究以确定管理这些患者护理的相关利益相关者，以及更好地了解为这些患者群体提供综合和全面护理的最佳框架。