In some areas of clinical medicine, discussions about fertility preservation are routine, such as in the treatment of children and adolescents facing cancer treatments that will destroy their ability to produce gametes of their own. Certain professional organizations now offer guidelines for people who wish to modify their bodies and appearance in regard to sex traits, and these guidelines extend to recommendations about fertility preservation. Since the removal of testicles or ovaries will destroy the ability to have genetically related children later on, it is imperative to counsel transgender people seeking body modifications about fertility preservation options. Fertility preservation with transgender people will, however, lead to unconventional outcomes. If transgender men and women use their ova and sperm, respectively, to have children, they will function as a mother or father in a gametic sense but will function in socially reversed parental identities. There is nothing, however, about fertility preservation with transgender men and women that is objectionable in its motives, practices, or outcomes that would justify closing off these options. In any case, novel reproductive technologies may extend this kind of role reversal in principle to all people, if sperm and ova can be derived from all human beings regardless of sex, as has happened with certain laboratory animals.

译文

:在临床医学的某些领域,关于生育力保存的讨论是常规的,例如在面对癌症治疗的儿童和青少年的治疗中,这将破坏他们生产自己配子的能力。现在,某些专业组织为希望在性特征方面改变其身体和外观的人们提供了指南,这些指南还扩展到有关保留生育力的建议。由于移除睾丸或卵巢会破坏以后与遗传相关的孩子的能力,因此必须咨询寻求变性的变性人,以寻求有关保留生育能力的建议。但是,跨性别者的生育保护将导致非常规的结果。如果跨性别男人和女人分别使用卵子和精子生孩子,他们将在配偶的意义上扮演母亲或父亲的角色,但会在社交上颠倒的父母身份中发挥作用。但是,关于跨性别男人和女人的生育保护,在动机,实践或结果方面都令人反感,这足以证明这些选择是合理的。无论如何,只要某些实验室动物的精子和卵子可以不分性别地从所有人的身上衍生出来,那么新的生殖技术原则上就可以将这种角色转换扩大到所有人。

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