Treating Transgender People

Abstract

The wish for children is the same in many transgender people as it is in the general population. However, a major difference is that unlike the general population, most transgender people require medical assisted reproduction (MAR) to achieve parenthood. The type of treatment offered to transgender people depends on many factors: if they wish to conceive a genetically related child or not, the gender of their partner (if they have one), the timing of the MAR in relation to the gender affirming treatment, and the local legislation on access to MAR. As a general rule, it is important to state that any form of MAR is best carried out before cross-hormone treatment or at least after periodic cessation of the treatment. Many types of MAR are possible in transgender people; however, it is clear from the literature that although technically possible, this patient population needs special and specific care. Transgender individuals can experience physical discomfort, emotional stress, and significant gender dysphoria while undergoing MAR. A gender-neutral environment is very important in order to provide trans-centered reproductive care.