Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hello, everybody. Thank you so much for coming. Um I do. You could just put a yes or a thumbs up in the chat if you can see us or see the slides as well. That, that would be perfect to make sure that we're actually broadcasting out to you. Yep. Brilliant. Thank you so much. Um So we've got another really interesting session today looking at reproduction and fertility. Uh As ever, we'll just wait a few, a little bit late um and take the opportunity to tell you about next week's session before we get on with this one. So next week you're looking at dermatology that's relevant to a queer population. Uh One of my friends, er, an F one working in Cornwall Olivia is going to be doing that one. So I'm gonna put the link in the chat and it's your normal registration form. It'll be same time, same place uh next week. So, yeah, that one's in there. Um At the end of the session we'll put up a, I'll put a link in the chat of the feedback form and there'll be a QR code on the powerpoint if you could fill that one in that would be really, really helpful. Um, and then once you fill it in, you'll get a certificate of attendance as well so we can help each other out. Um, and again, as always any questions as we go, um, pop them in the chat and we can look at them at the end or, or, and you can deal with them at the time. Uh, yeah, cos a couple more minutes for some more people to join and then we'll get going. OK. Uh Let's get started then. So I'll hand over to you Emily. Let you introduce yourself and tell us about reproduction, fertility. Thank you. Well, thanks. Thanks a look. Um Yeah, so I'm Emily. Um I'm a final year medical student. Um So, and yeah, I kind of got involved with this through. Um I did some teaching last year um at medical school about um queer health. So, yeah, that's how I got involved with this. So, yeah, today we'll be talking about um reproduction and fertility for um the queer community. Um I've tried to make the slides look vaguely nice, but uh forgive me if the design is not that nice. Um OK. So this is what we'll be running through today. Uh Yeah. As, as Alex said, if there's any questions at any point, just feel free to pop them in the chat. Um If I don't see them, I'll come to them at the end. Um So, yeah, I'll just do a brief introduction to the topic and then we'll go over um fertility um issues and then some stuff about assisted rep and then we'll kind of summarize everything we've talked about. Ok, cool. So, so yeah, so preserving fertility and assisted reproduction is a rapidly developing area of medicine in general. Um And today we're gonna talk about how this impacts queer patients. And if the progress in the field is truly equitable between um between uh queer patients and non queer patients. Um So we won't be discussing fertility or assisted reproduction for insect people um because this massively varies for different individuals, but it's also important to be aware of that and aware that there'll be lots of kind of variation for different people. Um OK. So yeah, we'll talk about fertility um and preserving fertility first. So I'll be talking mostly about um kind of transgender women and transgender men while I'm talking about this. But obviously, all of the things that I'm talking about um apply to non binary people. Um And anyone in the kind of spectrum in between. Um Yeah, cool. So yeah, so fertility preservation for trans and the men and non binary people. So this is advised to happen before um someone starts on tea. So um it, it's kind of uh thought that this will number one usually help with the success of the, the fertility, fertility preservation and it will also avoid the dysphoria that someone might get, if they stop um tea after they've already started it. Um So, but you can also do this three months after um cessation of tea. So if someone doesn't think about it or, or isn't aware of it before they go on tea, then they can stop tea to, to um have fertility preservation treatment. So, um what happens before is you'll get a consultation. Um It will talk about what um what procedure you're gonna have. Um It'll kind of there's a few different procedures that we'll, we'll talk about on the next slide um as to how your facility might be preserved. Um And then you'll get some ultrasound scans, you'll do a blood test, which will include things like HIV and Hepatitis. Um because at the moment, um um storage banks can't store um gametes or anything like that if you are HIV or Hepatitis positive. Um So that's something that um is important to mention to patients. Um If they're considering um considering this. Um and then um you have to do a consent form for your um tissue or gamuts to be stored. Um And that will specify the length of time that it needs to be stored for. Um And the important thing about this is that the consent only lasts for whatever length of time. So like 10 years. Um So patients need to be aware that they um will have to renew their consent every 10 years to, to keep up to date, contact information with whoever's storing um that tissue. Um And obviously a massive thing with this is that the funding has a massive variety of across the country um because it's determined by individual care boards. So, um yeah, it it will vary a lot and the funding is for storage for a very specific period of time. And if it goes beyond that period of time, then the patient will have to pay out of pocket and there's no additional funding on top of that for assisted reproduction or conception. So the two types of fertility preservation, um the main two types are gamete cryopreservation, which is the most common one and then a kind of new, slightly more experimental one which is gonadal tissue cryo preservation. So, with um GT preservation or egg collection, um it's usually 10 to 14 days of FSH injections um and then gamete retrieval under deep sedation. Um So that can either is usually done uh vaginally but um depending on what patients prefer and patients comfort levels with this, it can also be done um via the abdomen. So that's something that um you might want to talk about with the patient. Um in general, the survival and success of gametes is pretty good. Um And, but it is