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

Future Directions

A growing number of urologists is taking care of transgender patients, and these physicians may be tasked with managing hormonal therapy, GAS, and fertility considerations. As technology advances to provide transgender individuals the ability to have biologically-related children, it is equally important to make advancements in provider and patient education.[70] A Gender and Sex Diversity Fertility Group with 12 providers at 8 institutions concluded that a provider assessment tool to assess patients' knowledge and feelings about FP was necessary.[70] A design aid would also be helpful to manage complex information and provide unbiased information to patients.[70] It is clear that there is a need for more fertility specialists that are educated about and sensitive to the specific needs of the transgender population.

More research is needed to investigate the feasibility of experimental FP options, such as cryopreservation and in vitro maturation of ovarian and testicular tissue and uterus transplantation. It is also necessary to explore the specific needs of transgender youth and adults to better understand their fertility desires and determine the best protocol for fertility counseling. In order to provide better evidence-based information on the medical and psychosocial risks to the patient and offspring, further investigation into the outcomes of FP is critical.