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Pediatric and Adolescent Transgender Fertility Preservation (7829)

Pediatric and Adolescent Transgender Fertility Preservation (7829) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Pediatrics, Parenting


Pediatric and Adolescent Transgender
Fertility Preservation

What is Fertility Preservation?

Before you start transgender hormones, you may want to think about saving your sperm or eggs.
The Pediatric and Adolescent Transgender Health Clinic (PATH) of the American Family
Children’s Hospital has a partnership with Generations Fertility Care Clinic. This clinic offers a
service for those who have gone through puberty to freeze the sperm or eggs by
cryopreservation. This means your sperm or eggs (also called oocytes) are frozen and stored in
liquid nitrogen at very low temperatures.

How does it work?

Step 1 Make a phone call

ξ If you are younger than 18, your parent or caregiver should call Generations Clinic,
608-824-6160. If you are 18, make the call with your parent or caregiver to help you.
Tell the staff that you are a transgender patient interested in fertility preservation.
ξ It is helpful, but not necessary, to have your UW Health Medical Record number with
you as you make the call. This brings up information about your preferred name and
pronouns. The Generations clinic will also have information about cost and payment
ξ Your call is transferred to the clinic coordinator. The coordinator may not be available, so
leave a number where you or your parent/ caregiver can be called and talk privately if
ξ Please allow for time and a quiet place to talk with the clinic coordinator. During the first
phone call, the coordinator talks to you for about 30 minutes or more. The coordinator
reviews steps toward fertility preservation. You may also wish to talk with a financial
counselor as well.

Step 2 Preparation for cryopreservation

The clinic coordinator will tell you what is needed for saving eggs (oocytes) or sperm to use later
as required by the Food and Drug Administration (FDA). This work-up has to be complete
within 30 days of egg collection and 7 days of sperm collection.

The work-up is:
ξ A questionnaire with 63 questions. Some questions may feel sensitive or private to you.
Please allow for the time and a quiet place to answer the questions.
ξ A physical evaluation
ξ Lab tests: to include a blood draw and urine screen
ξ For sperm freezing; a repeat lab test 6 months after initial collection date

Step 3 First appointment at Generations Clinic for saving sperm or saving eggs

ξ This appointment is to review the process with the nurse coordinator or doctor and ask
any questions you might have. You will also look at forms and sign consents.
ξ To save eggs:
o You’ll have medicines injected to stimulate egg production
o Make several visits to the clinic to check on the progress
o A last visit to collect the eggs
o This may take up to one month or more
ξ To save sperm, you’ll have at least two visits to Generations Clinic, but there could be
more if you want to save more than one sample. You can save sperm up to three times
within one week of the first time you save.
ξ For both eggs and sperm a quality check is done and an Embryologist will talk with you
right after collection, while you are still at the clinic.

What is the cost?

Estimated cost:
Saving eggs: ~$10,000.00
Saving sperm: ~1,500.00

How are we doing?

We expect that all staff members are competent and respectful. If you have feedback about the
way we have handled your care, please ask to speak to a manager at the clinic or you can also
contact Patient Relations.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 9/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7829