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dc.contributor.advisorBadger, Terry A.
dc.contributor.authorChase, Allister Benjamin
dc.creatorChase, Allister Benjamin
dc.date.accessioned2021-12-14T23:58:08Z
dc.date.available2021-12-14T23:58:08Z
dc.date.issued2021
dc.identifier.citationChase, Allister Benjamin. (2021). Experiences of Reproductive Health Among Transgender Men Following Surgical Gender Affirmation (Doctoral dissertation, University of Arizona, Tucson, USA).
dc.identifier.urihttp://hdl.handle.net/10150/662577
dc.description.abstractGenital reconstruction is a hallmark gender affirmation procedure for a distinct subset of transgender men that require physical congruence with their expressed gender identity. Those that proceed with genital reconstruction are faced with a particularly finite set of decisions related to their physical body and emotional well-being, including the concession of their child-bearing potential. Current literature lacks a focus on the long-term implications of such outcomes, as well as an emphasis on fertility, biological parentage and non-infectious reproductive health concerns. The complex personal impact of dramatic gender affirming procedures remains an extraordinarily unmet need and was the focus of this research. The purpose of this study was to explore the experiences of reproductive health among child-bearing aged transgender men who underwent sterilizing genital reconstruction as a critical step in their gender affirmation journeys. A qualitative descriptive methodology, rooted in a complex adaptive systems (CAS) framework, allowed the principal investigator (PI) to support an environment of open dialogue to capture the holism of participants’ stories which could otherwise be deprioritized in pursuit of a linear and deterministic approach to data collection. Ten participants were recruited through social media and a leading reconstructive surgical practice for transgender persons. Each participant completed semi-structured, one-on-one interviews using videoconferencing and demographic questionnaires. Inductive data analysis, including affective coding, revealed thematic and categorical relationships which added a deeper emotional dimension to the subjective coding techniques. Six overarching themes of Gender Experience, Gender Affirmation, Fertility Concerns, Emotional Experiences, Health Care Provider Interactions and Communication were found. In addition to informing the narrative about the patterns and beliefs about fertility preservation, this study also expressed additional subcategory findings including self-acceptance, discovering one’s gender identity, and the complex impact of health care provider (HCP) interactions on this phenomenon of interest. These findings underscored the vital interdependency of research and practice and highlight opportunities for real-time advancements, as well as future endeavors to advance science and the standard of care for transgender patients.
dc.language.isoen
dc.publisherThe University of Arizona.
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectfertility
dc.subjectgender affirmation
dc.subjectgenital reconstruction
dc.subjectsterility
dc.subjecttransgender
dc.subjecttransman
dc.titleExperiences of Reproductive Health Among Transgender Men Following Surgical Gender Affirmation
dc.typetext
dc.typeElectronic Dissertation
thesis.degree.grantorUniversity of Arizona
thesis.degree.leveldoctoral
dc.contributor.committeememberCrist, Janice D.
dc.contributor.committeememberReed, Pamela G.
thesis.degree.disciplineGraduate College
thesis.degree.disciplineNursing
thesis.degree.namePh.D.
refterms.dateFOA2021-12-14T23:58:08Z


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