Open-access Normative evolution and institutional challenges of reproductive health of trans men and transmasculine people in Brazil: a scoping review

Evolução normativa e desafios institucionais da saúde reprodutiva de homens trans e pessoas transmasculinas no Brasil: revisão de escopo

Evolución normativa y desafíos institucionales en la salud reproductiva de hombres transgénero y personas transmasculinas en Brasil: una revisión de alcance

Abstract

This study aimed to map and analyze the normative evolution and institutional challenges related to the reproductive health of trans men and transmasculine people in Brazil. A scoping review was carried out according to the methodological guidelines of the JBI, registered on the Open Science Framework. The retrieved scientific studies included articles, theses, dissertations, academic papers, and various official regulations. The findings show that, despite important legal frameworks, these regulations emerged in historical contexts in which the identity categories and specific demands of trans men and transmasculine people were not yet consolidated in the public and legal debate. Notably, by remaining without substantive updates, these provisions produce effects of exclusion and invisibility, showing the persistence of a cisheteronormative logic in the structuring of access to reproductive health. Recent advances include the recognition of trans parenting in official documents and the creation of specific materials, such as the Transgesta prenatal booklet. However, critical gaps persist in access to fertilization, gamete preservation, and family planning, as do symbolic and institutional barriers to health care. This study shows that the fulfilment of sexual and reproductive rights of this group depends on more inclusive normative frameworks and on the transformation of institutional practices and the training of healthcare providers. The historical and critical analysis of policies in this study evince advances, setbacks, and omissions, contributing to expand knowledge about the reproductive health of trans men and transmasculine people in Brazil.

Keywords:
Reproductive Health; Transgender Persons; Gender Identity; Reproductive Rights


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Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Rua Leopoldo Bulhões, 1480 , 21041-210 Rio de Janeiro RJ Brazil, Tel.:+55 21 2598-2511, Fax: +55 21 2598-2737 / +55 21 2598-2514 - Rio de Janeiro - RJ - Brazil
E-mail: cadernos@ensp.fiocruz.br
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