Fertility preservation and realignment in transgender women

Erna Bayar, Nicola J Williams, Amel Alghrani, Sughashini Murugesu, Srdjan Saso, Timothy Bracewell-Milnes, Meen-Yau Thum, James Nicopoullos, Philippa Sangster, Ephia Yasmin, J Richard Smith, Stephen Wilkinson, Allan Pacey, Benjamin P Jones

Research output: Contribution to journalReview articlepeer-review

Abstract

Medical care for transgender people is multi-faceted and attention to individual reproductive aspirations and planning are an essential, yet often overlooked aspect of care. Given the impact of hormonal therapy and other gender affirmation procedures on reproductive function, extensive counselling and consideration of fertility preservation is recommended prior to their commencement. This review article explores the reproductive aspirations of transgender women and considers the current disparity between stated desires regarding utilisation of fertility preservation services. Current fertility preservation options and prospective treatments currently showing promise in the research arena are explored.

Original languageEnglish
Pages (from-to)463-482
Number of pages20
JournalHuman Fertility
Volume26
Issue number3
Early online date17 Feb 2023
DOIs
Publication statusPublished - 1 Jul 2023

Keywords

  • Fertility preservation
  • gender affirmation surgery
  • gender dysphoria
  • infertility
  • transgender

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