Beyrer C. The high cost of an early transition. Lancet. 2016; 387

Gender Identity Research and Education Society. The number of gender variant people in the UK—update 2011. 2011. (accessed 11 March 2019)

Lerner T, Ejzenberg D, de Pereyra EAG, Soares Júnior JM, Baracat EC. What are the possibilities of uterine transplantation in transgender patients?. Rev Bras Ginecol Obstet. 2017; 39:(10)521-22

Murphy TF. The meaning of synthetic gametes for gay and lesbian people and bioethics too. J Med Ethics. 2014; 40:(10)762-765

Murphy TF. Assisted gestation and transgender women. Bioethics. 2015; 29:(6)389-97

Sampson A, Kimberly LL, Goldman KN Uterus transplantation in women who are genetically XY. J Med Ethics. 2019;

World Professional Association for Transgender Health. Standards of care for the health of transsexual, transgender, and gender nonconforming people. 2011. (accessed 11 March 2019)

New routes to parenthood

02 April 2019
2 min read
Volume 27 · Issue 4


Recognition of gender fluidity, gender dysphoria and transgender people is increasing, and with it, debates on reproductive rights. Is science and technology keeping up? George Winter investigates

Under the Gender Recognition Act 2004, an application for a gender recognition certificate must be granted if a Gender Recognition Panel decides that the applicant has—or has had—gender dysphoria; has lived with the acquired gender for 2 years before applying; and intends to live permanently in the acquired gender. According to the Gender Identity Research and Education Society (GIRES) (2011), in 2007 some 1500 people in the UK presented for treatment of gender dysphoria; by 2010 the figure was approximately 12 500. The number who present for treatment are part of a mainly invisible group of people that ‘may number 300 000, a prevalence of 600 per 100 000, of whom 80% were assigned as boys at birth.’ GIRES does, however, state that it expects that this balance may become more equal.

The midwifery profession may encounter increasing numbers of transgender individuals asserting their reproductive rights to have children. In response to this, the World Professional Association for Transgender Health (2011:51) advocates that, ‘transsexual, transgender, and gender non-conforming people should not be refused reproductive options for any reason’.

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