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Reproductive Considerations in the Transgender and Gender Diverse Population: A Review
Michele B Glodowski1, Carlos M Parra2, Madeline K Xin3
1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, New York University Langone Health, 111 Broadway, 2nd Floor, New York, NY 10006, USA.
Gender-affirming treatments can impact fertility in transgender and gender diverse individuals. Fertility preservation options like oocyte, embryo, and sperm cryopreservation should be discussed before treatment begins.
Area of Science:
- Reproductive Endocrinology
- Gender-Affirming Care
- Medical Ethics
Background:
- Transgender and gender diverse (TGD) individuals often require medically necessary gender-affirming treatments.
- These treatments can negatively affect reproductive potential and fertility.
- Fertility counseling is crucial for TGD individuals of reproductive age.
Purpose of the Study:
- To review current fertility preservation options for transgender and gender diverse individuals.
- To highlight the impact of gender-affirming treatments on reproductive health.
- To identify knowledge gaps and areas for future research in TGD reproductive healthcare.
Main Methods:
- Literature review of reproductive technologies and outcomes for TGD individuals.
- Analysis of current guidelines and recommendations for fertility preservation.
- Synthesis of data on cryopreservation techniques for gametes and reproductive tissues.
Main Results:
- Post-pubertal TGD individuals can utilize mature oocyte, embryo, and sperm cryopreservation.
- Prepubertal TGD individuals may consider ovarian tissue cryopreservation; testicular tissue cryopreservation is experimental.
- Despite technological advances, significant knowledge gaps persist in TGD reproductive health.
Conclusions:
- Comprehensive fertility counseling is essential for all TGD individuals considering gender-affirming care.
- Established cryopreservation methods offer viable fertility preservation options for many TGD individuals.
- Further research is needed to advance reproductive healthcare options for the TGD population.
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