More trans people are publicly out and having families of their own, inspiring others to do the same. This increased visibility is likely to prompt fertility care providers to realize that this kind of care needs to become standard. The difficult part will be figuring out how to make that care accessible to everyone.

Transgender people see themselves as aligned with cancer patients who also face infertility when undergoing treatment. Egg freezing was once considered experimental, but that changed in 2012 when it was reclassified as an elective procedure, opening the door for more use. That prompted both cancer patients and transgender people to think about how to prove to insurance companies that fertility preservation is part of medically necessary treatments that need coverage.

Countering many myths about egg health and testosterone, this 2019 Boston IVF study found that egg quality and quantity (in addition to other variables around pregnancy and egg harvesting) were the same between transgender men and cisgender women.