Low Incidence of Hospital-Onset Clostridium difficile Infection in Sickle Cell Disease

Abstract

Correspondence n engl j med 380;9 nejm.org February 28, 2019 tored the patient for resolution of these symptoms. Testosterone therapy was then initiated as planned. The patient and his parents were satisfied with the process and outcome, although the prognosis regarding his fertility was guarded given the small number of oocytes that were cryopreserved. This case stresses the importance of education regarding preservation of fertility in trans-gender youth. This involves a thorough discussion of the risks and benefits of discontinuation of GnRH agonists as well as counseling regarding potential adverse effects.