Fertility Issues in Transgender Care

  title={Fertility Issues in Transgender Care},
  author={Leon Telis and Stephanie Baum and Tomer Singer and Boback M. Berookhim},
  journal={Transgender Medicine},
Treatment for gender dysphoria and the desire to live in the opposite gender requires hormonal, anatomic, and psychosocial changes. Concurrent with increased acceptance of fertility preservation is an increase in the acceptance and encouragement of transgender individuals. Undergoing gender affirming treatment no longer means the loss of reproductive potential. The medical community has a responsibility to meet the reproductive needs of transgender patients through education, empowerment, and… 



Transgender Men Who Experienced Pregnancy After Female-to-Male Gender Transitioning

Transgender men are achieving pregnancy after having socially, medically, or both transitioned and themes from this study can be used to develop transgender-appropriate services and interventions that may improve the health and health care experiences of transgender men.

Andrology of male‐to‐female transsexuals: influence of cross‐sex hormone therapy on testicular function

There is a need for more individualized and better‐controlled cross‐sex hormone therapy and post‐treatment regimens, and evidence‐based guidelines for attending clinicians need to be established in order to deliver the most appropriate care.

Case Report: Induced Lactation in a Transgender Woman

A 30-year-old transgender woman who had been receiving feminizing hormone therapy for the past 6 years was able to achieve sufficient breast milk volume to be the sole source of nourishment for her child for 6 weeks, illustrating that, in some circumstances, modest but functional lactation can be induced in transgender women.

Long-term treatment of transsexuals with cross-sex hormones: extensive personal experience.

Cross-sex hormone treatment of transsexuals seems acceptably safe over the short and medium term, but solid clinical data are lacking.

Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden

The findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care aftersex reassignment for this patient group.

Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline.

This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe the strength of recommendations and the quality of evidence, which was low or very low.

Report of the American Psychiatric Association Task Force on Treatment of Gender Identity Disorder

Current evidence was judged sufficient to support recommendations for adults in the form of an evidence-based APA Practice Guideline with gaps in the empirical data supplemented by clinical consensus.

Cryopreservation of sperm: indications, methods and results.

Sperm cryopreservation has revolutionized the field of assisted reproduction and provides hope for men undergoing chemotherapy, radiation or radical surgery who once had no chance for future fertility.

Children born after autotransplantation of cryopreserved ovarian tissue. A review of 13 live births

Ovarian cortex cryopreservation should be offered before gonadotoxic chemotherapy in all cases where there is a high risk of POF and where emergency IVF is not possible, according to a review of available options.