Barriers to fertility preservation access in transgender and gender diverse adolescents: a narrative review.

Barriers to fertility preservation access in transgender and gender diverse adolescents: a narrative review Multiple barriers exist for adolescents identifying as transgender or gender diverse (TGD) in the pursuit of fertility preservation (FP). In this narrative review, we aim to summarize the literature regarding such barriers. Key barriers to FP for TGD adolescents include inconsistencies in the form and timing of counseling on this topic, the treatment process of fertility preservation can worsen gender dysphoria, there is a very high cost of treatment but limited research on FP results, and various legal barriers to surmount. Intersectionality between gender identity and other forms of minority status can also interact, making FP and healthcare in general difficult to access.