Fertility preservation: Difference between revisions
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{{Content warning|reproductive anatomy and surgery}} | |||
'''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. There is often an assumption that all trans people are unable to have or do not want to have biological children, but this is untrue.<ref name="Rafferty2019">{{cite journal|last1=Rafferty|first1=Jason|title=Fertility Preservation Outcomes and Considerations in Transgender and Gender-Diverse Youth|journal=Pediatrics|volume=144|issue=3|year=2019|pages=e20192000|issn=0031-4005|doi=10.1542/peds.2019-2000|url=https://pediatrics.aappublications.org/content/144/3/e20192000}}</ref> | '''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. There is often an assumption that all trans people are unable to have or do not want to have biological children, but this is untrue.<ref name="Rafferty2019">{{cite journal|last1=Rafferty|first1=Jason|title=Fertility Preservation Outcomes and Considerations in Transgender and Gender-Diverse Youth|journal=Pediatrics|volume=144|issue=3|year=2019|pages=e20192000|issn=0031-4005|doi=10.1542/peds.2019-2000|url=https://pediatrics.aappublications.org/content/144/3/e20192000}}</ref> | ||
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==Fertility preservation for people who were [[assigned male at birth]]== | ==Fertility preservation for people who were [[assigned male at birth]]== | ||
In patients who have at least begun puberty and who still have their testicles, sperm can be cryopreserved for use at a later time. The sperm can be collected manually or can be extracted by a doctor. The process only takes a day.<ref name="Smith2019" /> Sperm collection for preservation can also be done by a testicular biopsy when the patient undergoes [[orchiectomy]] (surgical removal of testicles).<ref name="Utah">{{Cite web |title=Fertility Preservation |author= |work=healthcare.utah.edu |date= |access-date=10 March 2021 |url= https://healthcare.utah.edu/transgender-health/fertility.php}}</ref> | In patients who have at least begun puberty and who still have their testicles, sperm can be cryopreserved for use at a later time. The sperm can be collected manually or can be extracted by a doctor. The process only takes a day.<ref name="Smith2019" /> Sperm collection for preservation can also be done by a testicular biopsy when the patient undergoes [[orchiectomy]] (surgical removal of testicles).<ref name="Utah">{{Cite web |title=Fertility Preservation |author= |work=healthcare.utah.edu |date= |access-date=10 March 2021 |url= https://healthcare.utah.edu/transgender-health/fertility.php}}</ref> | ||
There is a difference between sperm collected from ejaculate and sperm collected directly from the testicles. Ejaculated sperm can be placed in someone's vagina (artificial insemination) and "swim up" to fertilize an egg. However, when sperm is collected directly from the testicles, it is unable to "swim", and thus can only be used via in vitro fertilization, which is more expensive and time-consuming than artificial insemination.<ref name="Utah" /> | |||
Note that many patients will have a zero sperm count after just one month of [[Hormone therapy#Feminizing hormone therapy|feminizing hormone therapy]], so it is often better to preserve sperm before starting HRT.<ref name="Utah" /> | |||
==Cost== | ==Cost== | ||