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Fertility preservation: Difference between revisions

Rewording the headers to be more specific since some intersex people may be, for example, AFAB while having testicles, etc.
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imported>TXJ
(Rewording the headers to be more specific since some intersex people may be, for example, AFAB while having testicles, etc.)
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In some cases, 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.<ref name="Smith2019" />
In some cases, 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.<ref name="Smith2019" />


==Fertility preservation for people who were [[assigned female at birth]]==
==Fertility preservation for people born with ovaries==
[[Masculinizing hormone therapy]] decreases ovulation and stops menstrual bleeding. However, people on masculinizing HRT may still become pregnant.<ref>{{cite journal | author = Krempasky C, Harris M, Abern L, Grimstad F | year = 2020 | title = Contraception across the transmasculine spectrum | url = https://www.ajog.org/article/S0002-9378(19)30955-X/fulltext | journal = The American Journal of Obstetrics and Gynecology| volume = 222 | issue = 2| pages = 134–143 | doi = 10.1016/j.ajog.2019.07.043 | pmid = 31394072 }}</ref>
[[Masculinizing hormone therapy]] decreases ovulation and stops menstrual bleeding. However, people on masculinizing HRT may still become pregnant.<ref>{{cite journal | author = Krempasky C, Harris M, Abern L, Grimstad F | year = 2020 | title = Contraception across the transmasculine spectrum | url = https://www.ajog.org/article/S0002-9378(19)30955-X/fulltext | journal = The American Journal of Obstetrics and Gynecology| volume = 222 | issue = 2| pages = 134–143 | doi = 10.1016/j.ajog.2019.07.043 | pmid = 31394072 }}</ref>


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Another option is to simply cryopreserve a sample of ovarian tissue. It can be done with patients of any age who have undergone or not undergone puberty, and it can be done at the same time as an [[oophorectomy]] (surgical removal of ovaries). However, this is considered experimental.<ref name="BlakemoreQuinn2019" />
Another option is to simply cryopreserve a sample of ovarian tissue. It can be done with patients of any age who have undergone or not undergone puberty, and it can be done at the same time as an [[oophorectomy]] (surgical removal of ovaries). However, this is considered experimental.<ref name="BlakemoreQuinn2019" />


==Fertility preservation for people who were [[assigned male at birth]]==
==Fertility preservation for people born with testicles==
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>


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