Pregnancy Outcomes After Fertility Preservation in Transgender Men : Obstetrics & Gynecology

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Contents: Reproductive Endocrinology: Case Report

Pregnancy Outcomes After Fertility Preservation in Transgender Men

Maxwell, Susan MD; Noyes, Nicole MD; Keefe, David MD; Berkeley, Alan S. MD; Goldman, Kara N. MD

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Obstetrics & Gynecology 129(6):p 1031-1034, June 2017. | DOI: 10.1097/AOG.0000000000002036

BACKGROUND: 

Transgender individuals, individuals whose gender identity does not align with their sex assigned at birth, undergoing gender-affirming hormonal or surgical therapies may experience loss of fertility. Assisted reproductive technologies have expanded family-building options for transgender men who were assigned female at birth.

CASES: 

Three transgender men underwent oocyte cryopreservation before gender-affirming hormonal therapy. One patient underwent fertility preservation as an adolescent. Two adult patients had children using their cryopreserved oocytes, with the pregnancies carried by their sexually intimate partners.

CONCLUSION: 

Transgender men with cryopreserved gametes can build families in a way that affirms their gender identity. Obstetrician–gynecologists should be familiar with the fertility needs of transgender patients so appropriate discussions and referrals can be made.

© 2017 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

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