Abstract
This article highlights the importance of fertility preservation prior to gender affirming surgery which ideally should be done prior to initiation of hormone therapy. This is critical to the preoperative care of the transgender person who wishes to undergo surgery. The World Professional Association for Transgender Health recommends discussion of fertility prior to the initiation of treatment and prior to any fertility affecting surgery.1 Estrogen appears to have an incomplete deleterious effect on spermatogenesis.
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