241 posters, 10 topics, 7 sessions, 899 authors, 296 institutions
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The AAPS 103rd Annual Meeting 2025
May 24-27, 2025 | Austin, Texas
D85
Disparities In Coverage Of Gender-affirming Bottom Surgery And Fertility Services
Poster Presenter
Authors
Ermina Lee, Alexandra Davis, Carson Hartlange, Maria Sckaff, Bashar Hassan, Ledibabari Ngaage, Katie Cameron, Fan Liang
Affiliations
University of Cincinnati, University of Cincinnati College of Medicine, Johns Hopkins University School of Medicine, Center for Transgender and Gender Expansive Health
Part of Topic
Gender Affirmation
Disparities in the Coverage of Gender-Affirming Bottom Surgery and Fertility Services
Background
Up to 51% of transgender women and 37.5% of transgender men would have seriously considered fertility preservation if offered prior to medical transition
Fertility preservation utilization is low (<5-7%) among transgender and gender (“TGD”) individuals, barriers include:
1) Hormone therapy pause for gamete procurement (1-6 months)
2) Out-of-pocket costs ($10,000-$15,0000 for oocyte or embryo, $500-$1,000 for sperm)
3) Inability to delay transition
Oncofertility – the integration of fertility care for patients undergoing sterilizing cancer treatment
Iatrogenic Infertility – relatively novel qualifying condition for fertility preservation resulting from oncofertility advocacy
Objective
To examine the insurance coverage for TGD individuals seeking fertility services and bottom surgery