Fertility Concerns of the Transgender Patient

Philip J. Cheng; Alexander W. Pastuszak; Jeremy B. Myers; Isak A. Goodwin; James M. Hotaling


Transl Androl Urol. 2019;8(3):209-218. 

In This Article


Transgender individuals have experienced pervasive discrimination, but they have recently started to make significant gains in societal acceptance. As access to healthcare improves for this patient population, it is important for urologists and the rest of the medical community to address the specific needs of this community and improve the patient experience. Transgender individuals may express the desire to have biological children and should be educated on the FP options available to them, including oocyte cryopreservation and uterus preservation for transmen and sperm cryopreservation for transwomen. Experimental and future options may include cryopreservation of ovarian or testicular tissue for prepubertal transgender youth and uterus transplantation for transwomen. Further research is needed to explore the outcomes of these options and improve access to and quality of care.