Today, many young transgender people are using medical technologies to achieve gender transition. However, transgender surgical procedures can cause temporary or permanent infertility. As a result, many transgender people are now using technologies to preserve fertility. However, they may encounter the dilemma of making fertility decisions, building families, and facing challenges in accessing and using fertility conservation services.
1. Studies on methods of reproduction for transgender people
Some studies conducted with transgender men in Belgium show that 54% expect to have children and 37.5% would consider freezing their eggs if the service was available. Many people regret losing the opportunity for parents to have children geneticly related and 77% think sperm conservation should be provided regularly to all transgender women.
Here's some information on birth options for transgender people interested in hormone therapy or surgery compiled by the Rainbow Health Ontario organization. Understanding and discussing birth options is a necessary component of the Informed Consent Form for health care that is relevant to transgender people and transgender rights.
Note on the terminology: Although most health care providers assume that all those with ovaries and uterus will be women and all those with testicles and sperm will be male, therefore the community of completely transgender people (who have completely removed the uterus) ovaries and testicles) are not the case for performing artificial inse fertilization. In this article define transgender men as those with ovaries and uterus or those with internal genitals, and transgender women who can produce sperm or those with external genitals.
2. Artificial inse fertilization for transgender women
- A transgender person who has testicles and intends to have them removed will have to have sperm removed before surgery to retain the condition for the latter if he wants to have his or her offspring genetically. The World Professional Association for Transgender Health recommends that transgender women store their sperm at a sperm bank before starting hormone therapy to perform transgender.
- The volume of the testicles is significantly reduced due to long-term use of estrogen and affects the maturity and mobility of sperm. Therefore, transgender women are better at storing sperm before using hormones. After the operation, the transgender woman cannot become pregnant due to the lack of ovaries and uterus, therefore, if they want to have children, they need an egg donor and a surrogate.
- For transgender people who have used hormones, the suspension of the use of hormones for a few months so that the testicles produce sperm and the quality of recoverable sperm for storage. Some studies examining the effects of high-dose estrogens show that testes function can recover if discontinued. If transgender people are unable to interrupt hormone treatment then poor-quality semen can still be frozen for later use with the help of advanced assisted reproduction technologies. In case the testicles cannot afford to produce sperm through ionization, the Medical facility will be able to perform microsurgeical techniques to extract sperm sperm that helps to find the sperm hiding deep inside the testicles.
3. Artificial inse fertilization for transgender men
Research shows that long-term testosterone use does not weaken the ovaries and does not affect the egg's ability to mature. For transgender people interested in reducing fertility after testosterone use or they plan to have their uterus removed and ovaries removed, there are now two options for preserving fertility:
- Egg cell bank: By stimulating the ovulation with hormones and taking the egg with a needle that passes through the vaginal wall into the ovaries, this technique is performed under the guidance of ultrasound. In some cases, frozen eggs do not survive because they are sensitive to freezing and defrosting.
- The embryo bank is to take the egg as above but will fertilize immediately and be put into the bank of the embryo. This will have a greater success rate than the above, but the sperm donor (whether known or anonymous) must be selected at the time of obtaining the egg.
Newly taken eggs or eggs that have been stored or embryos can be implanted into the original donor, into the partner's uterus, or into the surrogate mother.
Decisions regarding the conservation of fertility should be made as soon as possible. After the age of 30, ovarian tissue rarely has enough follicles to harvest and store cold. Transgender people who still have internal reproduction should consider freezing embryos or eggs for better results before the age of 30
How long does the embryo nest after transferring the embryo?
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Article reference source: ncbi, NHS, lgbtqhealth
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