Non-binary patients in ART: new challenges and considerations

J Perinat Med. 2024 Aug 15;52(8):804-810. doi: 10.1515/jpm-2024-0256. Print 2024 Oct 28.

Abstract

Objectives: To discuss the increasing visibility of non-binary individuals and inclusive policies and practices in assisted reproductive technologies (ART).

Methods: Comparison between traditional ART approach designed for binary genders and propose approach in non-binary individuals.

Results: Traditional ART services, designed for binary genders, must adapt to address the unique fertility needs of non-binary patients. This includes using gender-neutral language, providing comprehensive fertility assessments, and offering hormone therapy and fertility preservation options. Children of non-binary parents benefit from open communication about gender diversity, enhancing psychological well-being. Positive societal attitudes and inclusive environments in schools are crucial for preventing discrimination and promoting mental health. A systemic approach is required to make ART inclusive. This involves training staff, adjusting facilities, updating documentation, and advocating for supportive legislation. Addressing the reproductive needs of non-binary individuals ensures equitable access to care and supports their family-building goals.

Conclusions: Ensuring the well-being of children in non-binary families requires psychological support, inclusive healthcare, legal recognition, social support, and comprehensive education.

Keywords: inclusive; in vitro fertilization; non-binary.

MeSH terms

  • Female
  • Gender-Nonconforming Persons* / psychology
  • Humans
  • Male
  • Reproductive Techniques, Assisted* / psychology