New family and transgender fertility models
Maternity and paternity in transsexual couples respond to the same genetic desire as in other people, specifically, the desire to start a family.
The transition to a different gender is complex and unique to each individual. Transgender individuals may or may not choose to change their bodies with surgical or hormone-based treatment methods. Unfortunately, both options have a negative impact on fertility.
Equipo Juana Crespo believes that the medical community has an important role to play in promoting systemic changes that provide equitable and gender affirming care for transgender people across all areas of reproductive health.
Fertility planning for young transsexuals
As society advances, new family models play an increasingly role, which helps to normalise gender identities.
Increasingly, children and adolescents are aware of the incongruence between their sex and gender identity, which leads them to seek specialised medical care that includes multidisciplinary treatments focused on fully satisfying the young person or adolescent.
All treatments focused on gender transition that are irreversible or partially reversible therapies, such as hormone therapy, have an impact on fertility. Therefore, fertility planning before initiating any therapy would be optimal.
Equipo Juana Crespo knows that fertility planning in transgender people goes beyond mere fertility preservation (FP) by freezing eggs or sperm. Although the technique and technologies are the same as for other patients, protocols and procedures need to be adapted to minimise distress and gender dysphoria.
Transgender fertility preservation methods
Transgender fertility treatment methods
To achieve full-term gestation of a healthy baby in a transgender man, the following treatments are available:
Frequently Asked Questions
As explained above, if surgical sex reassignment has not taken place, it is possible to achieve a transgender pregnancy if hormonal treatments are put on hold to stimulate the ovarian reserve and facilitate transgender pregnancy.
Testosterone treatments can directly affect ovarian reserve. Treatments should be put on hold to reverse this situation. However, it is advisable to perform oocyte preservation before starting testosterone treatment to ensure egg quality.
To preserve fertility in transgender people, the issue must be raised as early as possible. Particularly before any sex reassignment surgery is performed.
For prepubertal transgender girls, the only fertility preservation option at this stage of development is CTT or Cryopreservation of Testicular Tissue. In later cases, there are other options.