TRANS FERTILITY: Is Fertility Inclusive?

*THIS IS A PAGE TO TALK ABOUT FERTILITY AND REPRODUCTION FOR ALL. NO HATE WILL BE TOLERATED HERE. INCLUSIVE AF.

Fertility doctor Natalie Crawford, MD talks about fertility care for transgender persons. Is fertility inclusive?

Reviewing:
What is the difference in sex and gender?
What is trans? What does it mean to be trans?
How do you transition?
Does transitioning impact your fertility?
Do fertility doctors take care of trans persons?
Can you freeze your eggs on testosterone treatment?
Can you freeze your sperm on estrogen?
What needs to be considered before transitioning: fertility preservation.

Discussed in this video:
Access to fertility services by transgender and nonbinary persons:
an Ethics Committee opinion
access_to_care_for_transgender_persons.pdf

Egg freezing on Testosterone:
Amir H, Yaish I, Samara N, Hasson J, Groutz A, Azem F. Ovarian stimulation outcomes among transgender men compared with fertile cisgender women. J Assist Reprod Genet. 2020 Oct;37(10):2463-2472.

De Roo C, Lierman S, Tilleman K, Peynshaert K, Braeckmans K, Caanen M, et al. Ovarian tissue cryopreservation in female-to-male transgender people: insights into ovarian histology and physiology after prolonged androgen treatment. Reprod Biomed Online 2017;34:557–66.

Sperm freezing on Estrogen:
Barnard EP, Dhar CP, Rothenberg SS, Menke MN, Witchel SF, Montano GT, Orwig KE, Valli-Pulaski H. Fertility Preservation Outcomes in Adolescent and Young Adult Feminizing Transgender Patients. Pediatrics. 2019 Sep;144(3):e20183943.

Adeleye A, Reid G, Kao C-N, Mok-Lin E, Smith JF. Semen parameter among transgender women with a history of hormonal treatment. Urology 2018; 124:136–41

Ethics:
James-Abra S, Tarasoff LA, Green D, Epstein R, Anderson S, Marvel S, et al. Trans people’s experiences with assisted reproduction services: a qualitative study. Hum Reprod 2015;30:1365–74.
Neblett MF, Hipp HS. Fertility considerations in transgender persons. Endo- crin Metab Clin North Am 2019;48:391–402.

Children:
Chiland C, Clouet AM, Golse B, Guinot M, Wolf JP. A new type of family: transmen as fathers thanks to donor sperm insemination. A 12-year follow up exploratory study of their children. Neuropsychiatr Enfance Adolesc 2013;61:365–70.

American Academy of Child and Adolescent Psychiatry. Gay, lesbian, bisexual or transgender parents. Available at: http://www.aa cap.org/AACAP/Policy_Statements/2008/Gay_Lesbian_Bisexual_or_Tran sgender_Parents.aspx. Published 2013.

THIS IS NOT MEDICAL ADVICE, BUT EDUCATION. PLEASE ASK YOUR DOCTOR ANY QUESTIONS THAT ARE SPECIFIC TO YOUR MEDICAL CARE.

#trans #fertility #nataliecrawfordmd
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Dr. Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.

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715 W 34th Street, Austin, TX 78705
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