Trans Peoples' Interest in Reproduction and Fertility Preservation: A Cross-Sectional, Descriptive Study Into...

This study aimed to ascertain trans peoples' interest in reproductive choices. Our secondary objective was to understand barriers to meeting their reproductive goals.

We conducted a descriptive cross-sectional study using a one-time anonymous survey. Analysis was conducted using descriptive statistics and a thematic analysis using inductive coding.

Analysis of trans participants' responses revealed 82% (N = 169) of participants are interested in pursuing reproductive options (biologically related children, donor gametes, gestational carriers, or fertility preservation). Sixty-eight percent (N = 172) of participants are taking gender-affirming hormone therapy or plan to start. Forty-nine percent (N = 124) have had or plan to have gender-affirming surgery that affects fertility. Trans folks experience many barriers when accessing fertility care; cost and trans-specific barriers were the most common and insurmountable barriers.

Our study highlights that trans folks are interested in reproductive options. However, many trans people experience significant barriers to meeting their reproductive goals and this significantly impacts their quality of life. With most of our survey population identifying as trans at an age during the window of peak fertility, we highlight the importance of early assessment and treatment to achieve fertility goals.