Abstract-book-2023 - Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands

Sep 2, 2026

Research mapping barriers and enabling factors for fertility preservation (FP) access among trans masculine individuals in the Netherlands after 2014, when sterilization stopped being required for legal gender affirmation. A scoping review searched databases and used hand searches with informal consultation for literature from 2014–2021. Results synthesized 38 peer-reviewed and 22 gray literature sources into themes spanning biological, psychological, training, language, legal, economic, and sociocultural factors, grouped by patient, HCP, and environment levels. Findings note progressive legislation and supportive insurance, alongside limited HCP readiness and scarce access outside specialized institutions.

LanguageEnglish

CategoryGeneral

FormatDOCX

Pages379

Reading Time2 h 13 min

AccessFree to download

Abstracts

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

Queer Health: knowledge in your pocket

Internalized transphobia as a barrier to transgender people's access to healthcare services

The Super Thin External Pudendal Artery (STEPA) Flap for Labia Minora Reconstruction in Gender-Affirming Vaginoplasties

Mapping Accessibility to Fertility Preservation for Trans Masculine Individuals in the Netherlands Authors Maddalena Giacomozzi - Radboud University Medical Center Stéphane Aubin - Treat it Queer Foundation Maria Teresa Brancaccio - Maastricht University Abstract 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 non existent 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. "Queer Health: knowledge in your pocket." A tool for health justice. Authors Maddalena Giacomozzi - Radboud University Medical Center Elia Zeno Covolan - Treat it Queer Foundation Stéphane Aubin - Treat it Queer Foundation Franziska Gartner - State Ministry of Science and Health of Rhineland-Palatinate Abstract Popular with medical students and medical professionals the world over, pocket cards are a portable quick-reference tool that is designed to fit in the pockets of labcoats (“whitecoats” in some settings) and scrubs, so that medical professionals have access to important information on-the-go. The Treat it Queer Foundation have decided to develop a specific set of pocket cards, centered on queer health principles and presented in a distinctly queer way. Running through a breadth of topics from inclusive language terminology to gender-affirmative care options and discussions of gender dysphoria and euphoria, the QUEER HEALTH: Knowledge in your pocket quick reference card deck is designed for care providers in all settings (and, truthfully, for anyone with an interest in queer health) to have quick and easy access to some of the core knowledge that is crucial to conduct inclusive, respectful, and safe interactions with queer patients. This product has been developed according to the Web Accessibility Guidelines to maximize accessibility for people with sight impairment, dyslexia and other forms of disability or chronic illness. The pocket cards are currently available in English, Dutch, Italian and French. Meanwhile, the Portuguese, German, Spanish Russian and Arabic version are under development. The product can be reviewed here: https://www.treatitqueer.org/products/queerhealthpocketcards Internalized transphobia as a barrier to transgender people's access to healthcare services Authors Egor Burtsev - European Humanities University Yana Kirey-Sitnikova - Uppsala University Abstract Internalized (internal) transphobia still remains a "grey area" for research in the post-Soviet space. In 2021, together with the Eurasian Coalition on Health, Rights, Gender and Sexual Diversity, we conducted the first study in the EECA region on the level of internalized transphobia and its impact on access to hea

FAQs

Why study fertility preservation access for trans masculine individuals in the Netherlands after 2014?

Sterilization is no longer required for legal gender affirmation since 2014, making FP access essential to support equal reproductive rights for this population.

How was the evidence gathered for mapping barriers and enabling factors?

A scoping review used database searches and hand searches, supplemented with informal consultations, covering literature published between 2014 and 2021.

What main barriers and enabling factors were identified?

Thematic analysis produced seven themes—biological, psychological, training, language, law and legislation, economic, and sociocultural—clustered into factors related to patients, health care providers, and the surrounding environment.

What does the conclusion say about readiness of health care providers and care access?

Progressive legislation and accommodating insurance support FP access, but HCP readiness to provide tailored care is questionable, and access to appropriate services is largely absent outside highly specialized institutions.

Sep 2, 2026

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