Understudied and Under-Reported: Fertility Issues in Transgender Youth—A Narrative Review

Infertility, or the concern for infertility, has been shown in many studies to be associated with psychosocial distress among affected adults,1,2 and may result from numerous genetic or pediatric conditions and treatments.3 Fertility preservation technologies have been developed to expand future parenthood options for youth and others at risk for infertility.3 Although these rapid technological advances have facilitated improvements in clinical care, significant knowledge gaps exist with regard to who is at risk and could benefit from fertility preservation technologies, which methods have adequate evidence to support integration in clinical care, and how to optimize access to, and utilization of, established options.

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