Table 1.

Characteristics of AYA transmen who did not seek consultation.

Age Range at Contact (years)	Initiation of Testosterone prior to consultation	Reason for declining consultation	Clinical Next Steps
16-18	No	Not interested in biologic offspring	Began Testosterone
			Oocyte cryopreservation at alternative institution
			Began testosterone
16-18	No	Oocyte cryopreservation at different institution	Underwent gender affirming top surgery
			Began leuprolide acetate
13-15	No	Concern for dysphoria with fertility preservation	Underwent gender affirming top surgery
19 and older	Yes	Not interested in biologic offspring	Underwent gender affirming bottom surgery and phalloplasty
19 and older	Yes	Not interested in biologic offspring	Continued testosterone
19 and older	No	Not interested in biologic offspring and desire to initiate testosterone	Began testosterone
19 and older	Yes	Not indicated	Continued testosterone
16-18	No	Desire to initiate testosterone	Began testosterone
13-15	Yes	Not interested in biologic offspring	Continued testosterone