Table 2. Fertility preservation options for transmen.

Patient population	Method	Patient requirements	Pregnancy requirements	Cost
Post pubertal transmen before and after initiation of GAHT	Embryo cryopreservation	Established practice. Should stop GAHT and undergo controlled ovarian stimulation with transvaginal oocyte retrieval. Need donor sperm at time of harvest	Male partner: can use partners sperm for fertilization. Need surrogate to carry embryo to term	Egg freezing—$8,000–12,000 + $500 annual fee; IVF and embryo transfer—$12,000–14,000; Surrogacy fees—~$30,000
			Female partner: sperm donor for fertilization, transplantation of embryo into partners uterus
Post pubertal transmen before and after initiation of GAHT	Oocyte cryopreservation	Established practice. Should stop GAHT and undergo controlled ovarian stimulation with transvaginal oocyte retrieval	Male partner: use partners sperm for fertilization. Need surrogate to carry embryo to term	Egg freezing—$8,000–12,000 + $500 annual fee; IVF and embryo transfer—$12,000–14,000; Surrogacy fees—~$30,000
			Female partner: sperm donor for fertilization, transplantation of embryo into partners uterus
Pre and post pubertal transmen at any point in their transition	Ovarian tissue cryopresevation	Experimental not clinically available. No need to stop GAHT. Can be done concurrently with gender affirming surgery	Male partner: IVM, use partners sperm for fertilization. Need surrogate to carry embryo to term	Egg freezing—$8,000–12,000 + $500 annual fee; IVF and embryo transfer— $12,000–14,000; Surrogacy fees—~$30,000; IVM—cost unknown
			Female partner: IVM, sperm donor for fertilization, transplantation of embryo into partners uterus

IVM, in vitro maturation.