Fertility Preservation for Transgender Patients: It's the Little Things That Make a Difference
The journey of a transgender person is filled with highs and lows. From recognizing their true identity to transitioning and starting a family, each step of the way comes with its own unique challenges. One aspect that is often overlooked is fertility preservation. Many transgender patients may not be aware that they have options when it comes to preserving their fertility before transitioning or starting a family.
Fertility preservation is no longer considered experimental and can be a viable option for transgender patients. Hormone therapy does not always have to be stopped for fertility preservation, and patients can opt for a rapid start. It's essential to consider this option, especially in a landscape where transgender patients' basic human rights are constantly threatened.
Transgender patients often face discrimination and violence in healthcare settings. This is where healthcare providers can make a significant difference by taking steps to ensure that their practices are inclusive and supportive of the trans community. This can start with something as simple as using the correct pronouns and labeling restrooms as gender-neutral. Improved communication and education between departments can also go a long way in providing more inclusive patient care workflows.
It's crucial to acknowledge that the journey of a transgender patient is unique and to avoid assumptions about their plans for family building. Providers should only ask questions that are necessary and be transparent about expectations regarding stimulation cycles and gamete yield. Patients should be educated on the differences between gametes and eggs or sperm and be informed about menstrual cycle expectations.
The Center of Excellence for Transgender Health is an excellent resource for providers and patients alike. The center's mission is to improve access to care for the trans and nonbinary community to live and thrive. They offer resources for scripting, intake, and general information, as well as training.
The little things matter when it comes to fertility preservation for transgender patients. Providers should seek out opportunities for regular training and updates to clinical staff, collaborate with support staff for more inclusive patient care workflows, review current intake documents for inclusive language, and consider patient satisfaction surveys to assess the patient experience. By taking these steps, healthcare providers can make a pivotal difference in the lives of transgender patients.
