Physical, Mental and Psychosomatic Aspects in Fertility Preservation of Transgender Men and Women

Fertility preservation is a critical consideration for transgender individuals who undergo medical and surgical transitioning. The process involves physical, mental and psychosomatic aspects that can affect individual reproductive potential. The physical preservation in these people includes methods such as cryopreservation of sperm, oocytes and embryos or ovarian or testicular biopsy tissue in prepubertal or pubertal boys. These medical interventions may have implications for individual reproductive health, including success rates of fertility preservation methods, potential risks and side effects. The mental aspects of fertility preservation in transgender individuals involve psychological and emotional considerations. For many transgender people, the ability to have biological children can be an important aspect of gender identity and self-image. The decision to undergo fertility preservation may involve complex emotional process including grief, loss and acceptance to potential changes to reproductive capacity. Mental health support, counselling and informed decision-making are crucial aspects of the fertility preservation process for transgender individuals. Psychosomatic aspects of fertility preservation in trans-people encompass the interaction between psychological and physiological factors. The stress and anxiety associated with gender dysphoria, social stigma and discrimination may influence the success of fertility preservation procedures. Additionally, hormonal therapies and other medical interventions involved in gender affirming care may also have implications for fertility preservation. The relationship between the mind and body in the context of fertility preservation in trans-individuals is a complex and requires multi-disciplinary care.