Fertility preservation

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Fertility preservation, in the context of the trans and nonbinary community, means any steps taken by individuals to retain the option of having children who are biologically related to them. Some types of hormone therapy or surgery will reduce or eliminate fertility either reversibly or irreversibly. Physicians often do not inform their patients about this, especially younger patients, although discussing it is recommended to be always done.^[1]^[2]

Some countries and states require transgender people to be sterilized (have their ovaries or testicles removed) in order to be legally recognised as their self-identified gender.

Individuals who take puberty blockers and then seamlessly move to taking adult hormone therapy may not have their bodies develop sufficient "reproductive material", leaving them permanently infertile.^[1]

Fertility preservation for people who were assigned female at birth

Masculinizing hormone therapy decreases ovulation and stops menstrual bleeding. However, people on masculinizing HRT may still become pregnant.^[3]

Fertility preservation for people who were assigned male at birth

References

↑ ^1.0 ^1.1 Smith, Allison (2019). "Preserving the Possibility of a Future Biological Family: State-Mandated Insurance Coverage of Fertility Preservation for Youth Patients When Primary Treatment Causes Sterility". Dukeminier Awards: Best Sexual Orientation Law Review Articles. 18 (1): 267–294.
↑ Rafferty, Jason (2019). "Fertility Preservation Outcomes and Considerations in Transgender and Gender-Diverse Youth". Pediatrics. 144 (3): e20192000. doi:10.1542/peds.2019-2000. ISSN 0031-4005.
↑ Krempasky C, Harris M, Abern L, Grimstad F (2020). "Contraception across the transmasculine spectrum". The American Journal of Obstetrics and Gynecology. 222 (2): 134–143. doi:10.1016/j.ajog.2019.07.043. PMID 31394072.CS1 maint: multiple names: authors list (link)

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[Smith2019-1] 1.0 ^1.1 Smith, Allison (2019). "Preserving the Possibility of a Future Biological Family: State-Mandated Insurance Coverage of Fertility Preservation for Youth Patients When Primary Treatment Causes Sterility". Dukeminier Awards: Best Sexual Orientation Law Review Articles. 18 (1): 267–294.

[Rafferty2019-2] Rafferty, Jason (2019). "Fertility Preservation Outcomes and Considerations in Transgender and Gender-Diverse Youth". Pediatrics. 144 (3): e20192000. doi:10.1542/peds.2019-2000. ISSN 0031-4005.

[3] Krempasky C, Harris M, Abern L, Grimstad F (2020). "Contraception across the transmasculine spectrum". The American Journal of Obstetrics and Gynecology. 222 (2): 134–143. doi:10.1016/j.ajog.2019.07.043. PMID 31394072.CS1 maint: multiple names: authors list (link)

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