Iris de Nie

76 C H A P T E R 5 Patient 1 Patient 2 Patient 3 Patient 4 cis-gender female partner got pregnant 4 months after cessation of hormone treatment through natural conception trans male partner got pregnant 40 months after cessation of hormone treatment, through natural conception * indicates that semen parameters were above the normal WHO reference range for semen volume (1.5mL), sperm concentration (15 million/mL) or progressive motility (32%). 3 ** Patient 3’s first semen analysis was significantly delayed due to a move across continents, during which she was unable to be with her partner. They were eventually reunited after which the semen analysis was performed. There was no obvious relationship between the duration of GAHT and timing of when spermatozoa were first identified (Figure 1). Four individuals recorded at least one normal semen analysis; the other four had either low volume, sperm concentration and/or sperm motility. Three of the four patients who stopped GAHT to naturally conceive with their current partners successfully did so after 4, 20 and 40 months.