Many people are unaware of the impact of missing puberty on fertility. They read articles about transmen giving birth, and do not understand that those transmen must have experienced much or all of female puberty before starting testosterone. Or they hear mention of ‘fertility preservation’ – the extraction and storage of eggs and sperm – before sex-reassignment surgery and do not realise that without at least partial puberty, there will be no eggs or sperm that can be preserved. There is also widespread ignorance about the effects of cross-sex hormones on the fertility of people who
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