Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands

Maddalena Giacomozzi*, MSc Global Health, Stéphane G Aubin, Maria Teresa Brancaccio

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Purpose: Since 2014 in the Netherlands, sterilization is no longer required for legal gender affirmation. Access to fertility preservation (FP) options is indispensable to grant equal reproductive rights to this population. This study aims to map existing literature on barriers and enabling factors for trans masculine individuals to access FP in the Netherlands after 2014. Methods: A scoping review method was conducted, including a database and a hand search complemented with informal consultations. Literature between 2014 and 2021 was searched. Results: A total of 38 peer-reviewed articles and 22 complementary gray literature sources were retrieved. Thematic analysis identified seven common themes: biological, psychological, training, language, law and legislation, economic, and sociocultural. The themes were clustered as patient-, health care provider (HCP)- and environment-related. Conclusion: The Netherlands offers progressive legislation and accommodating insurance agreements that favor FP for trans masculine individuals. However, the current readiness of HCPs to provide adapted and tailored care is arguable, and the capacity to access appropriate health services for trans masculine individuals is largely nonexistent outside of highly specialized health institutions. The implementation of both formal and informal education training programs for HCPs on transgender and gender diverse health needs-as well as inclusive language use-could benefit this community at large.

Original languageEnglish
Pages (from-to)369-383
Number of pages15
JournalLGBT Health
Issue number6
Early online date9 May 2022
Publication statusPublished - Sept 2022


  • CARE
  • Netherlands
  • cryopreservation
  • fertility
  • reproductive health
  • trans masculine
  • transgender


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