TRANS FERTILITY: Is Fertility Inclusive?

**Learn more about my new fertility course to enhance your natural fertility and optimize your lifestyle**

*THIS IS A PAGE TO TALK ABOUT FERTILITY AND REPRODUCTION FOR ALL. NO HATE WILL BE TOLERATED HERE. INCLUSIVE AF.

Fertility doctor Natalie Crawford, MD talks about fertility care for transgender persons. Is fertility inclusive?

Reviewing:
What is the difference in sex and gender?
What is trans? What does it mean to be trans?
How do you transition?
Does transitioning impact your fertility?
Do fertility doctors take care of trans persons?
Can you freeze your eggs on testosterone treatment?
Can you freeze your sperm on estrogen?
What needs to be considered before transitioning: fertility preservation.

Discussed in this video:
Access to fertility services by transgender and nonbinary persons:
an Ethics Committee opinion

Egg freezing on Testosterone:
Amir H, Yaish I, Samara N, Hasson J, Groutz A, Azem F. Ovarian stimulation outcomes among transgender men compared with fertile cisgender women. J Assist Reprod Genet. 2020 Oct;37(10):2463-2472.

De Roo C, Lierman S, Tilleman K, Peynshaert K, Braeckmans K, Caanen M, et al. Ovarian tissue cryopreservation in female-to-male transgender people: insights into ovarian histology and physiology after prolonged androgen treatment. Reprod Biomed Online 2017;34:557–66.

Sperm freezing on Estrogen:
Barnard EP, Dhar CP, Rothenberg SS, Menke MN, Witchel SF, Montano GT, Orwig KE, Valli-Pulaski H. Fertility Preservation Outcomes in Adolescent and Young Adult Feminizing Transgender Patients. Pediatrics. 2019 Sep;144(3):e20183943.

Adeleye A, Reid G, Kao C-N, Mok-Lin E, Smith JF. Semen parameter among transgender women with a history of hormonal treatment. Urology 2018; 124:136–41

Ethics:
James-Abra S, Tarasoff LA, Green D, Epstein R, Anderson S, Marvel S, et al. Trans people’s experiences with assisted reproduction services: a qualitative study. Hum Reprod 2015;30:1365–74.
Neblett MF, Hipp HS. Fertility considerations in transgender persons. Endo- crin Metab Clin North Am 2019;48:391–402.

Children:
Chiland C, Clouet AM, Golse B, Guinot M, Wolf JP. A new type of family: transmen as fathers thanks to donor sperm insemination. A 12-year follow up exploratory study of their children. Neuropsychiatr Enfance Adolesc 2013;61:365–70.

THIS IS NOT MEDICAL ADVICE, BUT EDUCATION. PLEASE ASK YOUR DOCTOR ANY QUESTIONS THAT ARE SPECIFIC TO YOUR MEDICAL CARE.

#trans #fertility #nataliecrawfordmd
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Dr. Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.

Welcome to the "As a Woman" community where we are all stronger together.

COME SAY HI!!!

FORA FERTILITY:
715 W 34th Street, Austin, TX 78705

Listen to the AS A WOMAN PODCAST here:

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#fertility #fertilitydoctor #nataliecrawfordmd #doctor #asawoman

Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.

[Shining-Star-]

It’s so nice to see someone in the medical field support all human beings regardless of perceived differences. We need more humans supporting humans. Everyone deserves to be loved and have a family who they love and who loves them. Life isn’t really that complicated. Love and acceptance are key. Let’s build people up and celebrate our humanity. 😊

[conlon]

You seem like such a sweet lady! It's wonderful to see how open and supportive you are. I would love to have a doctor like you treat me.

[xiveycollins]

What about trans women wanting to give birth. There are uterus transplants but the process is so iffy to me how can doctors give trans women the ability to birth safely?

[pokeyjourneys]

Can you help me find one in my state in Arizona

I know it's gonna be hard due to the state. I live in but getting a help me fine one that's friendly.

[AprilNicole]

This is so so important and you’re work to make everyone feel included and worthy is inspiring

[dsreed]

I've been on Testosterone since 5/14/2014. What are my options for having kids? I would prefer the child be genetically mine but don't necessarily want to carry it as my first opinion. If I have to I will but I'd like that to he my last possible option

[timberdoodle]

Great video! I would be interested in a longer video about chromosomal diversity. I think it's helpful in overturning the first argument that people have that you're either an xx female or an xy male. The truth is there's more to it than that. Once that is understood, you really can't ignore trans identities as a fact.

[EdreihAldana]

I’m trans, 3 years on T, and going through egg retrieval. I highly appreciate you being so inclusive and informative. ❤️

[azndrumr]

Thank you for discussing this topic! It's so incredibly important to be inclusive

[emmashuherk]

Thank you for always being so inclusive!

[DreamsInWild]

I am not trans, but I genuinely appreciate your inclusivity!

[karlynichelle]

I admittedly know absolutely nothing about this topic, but I do believe everyone deserves respect, proper medical treatment and care, and to feel comfortable seeking a path to parenthood. Thank you for educating me!

[davefitzgerald]

Thanks for your video. I am officially now chemically castrated on the cross sex hormones. I started HRT 4 months ago. My Libido is totally annihilated. Totally gone. No sensation whatsoever. Initially I felt bad about it, but now I am totally reconciled to this happy, peaceful, gentle, serene CHASTE way of life. It makes me feel pure and holy like I'm pleasing God with my chastity. The hormones are doing good and positive things for me, and I am very happy and peaceful and content. Long may it last. I realise I am completely sterile now and that is kinda strange, but I am 66 so a bit old for children. I never really wanted kids anyhow so it doesn't matter. I'm happy enough to be celibate and religious like a nun. God bless you. Marisa

[itkwwyy]

You cannot please everyone nor should you try. This is the medical field. Female and male anatomy is just that.

[scottishgirl]

We all deserve proper care doesn’t matter your I’m actually switching fertility doctors... im so mad at my old one my new one also now thinks I have endo with my PCOS.. how can something like this be missed.. thankfully I didn’t spend thousands on IVF yet at my old clinic

[Sammy]

I'm ftm and at the beginning of my journey to become a dad...

I took T for 1.5 years because it was required from my insurance in order for them to cover the costs of top surgery...
Now I'm almost a year off T but nothing happened... it was freaking hard to find a doctor who would even consider helping... and I found a clinic who requires me to get periods before treating me as a patient... but I'm glad I found a doctor who might helps me with that issue (haven't had a period in 2.5 years...)... Obviously I have some issues with that...
But even before I took T I ovulated rarely (and my cycles were between30 and 120+ days...) and nobody really cared when I told them (even before coming out as trans)
I just want to care for a child that belongs to my family (also signed up for adoption but chances are slim so I wanna increase my chances using my eggs and uterus)...

[jboop]

I love your channel and love that you have covered a helpful topic not commonly discussed and in such an excited, supportive way! In regards to the chromosomal abnormalities though, I would argue that the existence of <1% of people being born with disorders of sexual development does not mean that sex is non-binary. There are exceptions to the rule, just as with dextrocardia, but sex is still binary in mammals. I truly don't say this to be hateful at all or deny the existence of people with these differences. But when people say that sex is "assigned" at birth, it creates this false idea in many people's heads that Doctors are just casually, carelessly shrugging and guessing. When in reality, external genitalia is indicative of sex in 99-99.5% of people, and for the various forms of sexual development abnormalities, most will still produce one of the two types of gametes despite abnormalities in external genitalia.

[Creative_World_of_Ms_Kris]

Thank you so much for this. My child is MTF. It’s so hard to find positive content on trans people. I’m very supportive of my child but it’s really hard on a mom. She is 22 years old and I’ve been so proud of the handsome young man they grew into. It sounds like I’m not supportive but I am. I want my child to live their life the way they want to and will always be there. It’s just hard to wrap my head around. Kind of like when you’re pregnant and you’re so sure the baby is a boy and then out pops a girl and you almost mourn the loss of the little boy you dreamt of. Only you’ve been pregnant for 22 years. I wish there were support groups for trans moms to help us work through the transition so we can be as supportive as they deserve us to be. Positive content like this really really helps. Thank you!!

[zoeyking]

I am a transgender woman n I want to have a baby...

[andrewb.]

So can a Trans-woman develop children in their body?