One of the most anticipated topics at our Contraceptive Technology 2018 conference has been Pregnancy Prevention and Family Building for Transgender and Gender Expansive Persons. Professional societies have outlined standards of care for transgender individuals that support increased access to gender-affirming HT. But as more transgender patients are accessing necessary interventions — and gender transitions are initiated at younger ages — new questions are arising. The loss of fertility, which may occur as an unintended consequence of HT, can now be prevented. Available options for patients, which include oocyte and sperm cryopreservation, are increasingly more common and accessible. The changes are forcing new conversations for transgender health care providers, many of whom are struggling to keep up with a rapidly changing field.
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