Cryptozoospermia Associated With Genital Tucking Behavior in a Transwoman

Area of Science:

• Reproductive Endocrinology
• Transgender Health
• Sperm Physiology

Background:

• Transwomen often consider fertility preservation before hormonal therapy or surgery.
• Limited research exists on factors affecting transgender fertility and preservation methods.
• Genital tucking is a common practice among transwomen.

Purpose of the Study:

• To investigate the impact of genital tucking on sperm parameters in transwomen.
• To review the literature on fertility preservation for transgender individuals.
• To explore the heat stress hypothesis in relation to genital tucking and oligospermia.

Main Methods:

• Case review of a transwoman with severe oligospermia and genital tucking behavior.
• Comprehensive literature review on transgender fertility preservation.
• Analysis of the heat stress hypothesis in the context of genital tucking.

Main Results:

• The presented case showed severe oligospermia in a transwoman who practiced genital tucking.
• Literature review highlights the need for more research on fertility preservation in transwomen.
• The heat stress hypothesis offers a potential explanation for reduced sperm quality associated with tucking.

Conclusions:

• Genital tucking may be a modifiable factor affecting sperm quality in transwomen.
• Fertility preservation strategies for transwomen should consider the potential impact of tucking.
• Further research is warranted to elucidate the relationship between tucking, heat stress, and male fertility.