ASRM Today: Fertility Preservation and Gender-Affirming Hormone Therapy

In this episode of ASRM Today, host Jeffrey Hayes and co-host Dr. Lowell Ku continue their season-long exploration of LGBTQ+ issues in reproductive medicine with a conversation on fertility preservation and gender-affirming hormone therapy. Joining them are Dr. Molly Moravek of Henry Ford Health and Dr. Randi Goldman of Northwell Fertility, both leaders in fertility preservation, oncofertility, and LGBTQ+ reproductive care. Together, they explore the options available to transgender and gender-diverse patients who may wish to preserve fertility before or during gender-affirming treatment. The discussion addresses common misconceptions about hormone therapy and fertility, the emotional and logistical challenges patients may face, and the importance of inclusive, affirming care throughout the process. Drs. Moravek and Goldman also share practical insights on counseling patients, reducing barriers to care, and creating clinical environments where LGBTQ+ individuals feel supported, respected, and empowered in their family-building decisions.