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Fertility Preservation in Patients with Severe Ovarian Dysfunction
Published on: March 25, 2021
Fertility Preservation Legislation in the United States: Potential Implications for Transgender Individuals
Moira A Kyweluk1,2, Joyce Reinecke3, Diane Chen4,5,6,7
1Department of Anthropology, Northwestern University, Evanston, Illinois.
Abstract:
Gender-affirming hormones may compromise gonadal function leading to subfertility or infertility. Fertility preservation (FP; i.e., egg and sperm "freezing") before starting hormones offers future options to transgender individuals. In the United States, FP is extremely expensive and rarely covered by medical insurance; state-specific laws govern required benefits. Recent changes in insurance mandates in Connecticut, Delaware, Illinois, Maryland, New Hampshire, New York, and Rhode Island have expanded FP coverage, but implications of these changes for transgender individuals are unclear. State-by-state advocacy to expand insurance coverage for FP in individuals whose medically necessary treatments compromise fertility should consider the needs of transgender individuals desiring biological parenthood.
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