Complicating and Conversing on Fertility Preservation Timelines

The standard advice sounds straightforward: if transgender youth want to preserve fertility, they should freeze eggs or sperm before starting hormone therapy. It's the guidance found in clinical protocols, the recommendation many providers give, the timeline parents anxiously try to follow.

But Dr. Brent Monseur, a board certified OB/GYN and reproductive endocrinologist, has a different take on this conventional wisdom that prioritizes the immediate lives and health of trans people. At stake is whether fertility preservation becomes another hurdle transgender youth must clear before accessing transition care, or whether the medical system can hold space for uncertainty without demanding irreversible decisions from teenagers.

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