The research in the area is limited.
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Fertility and sexual functionResearch on the long-term effects on fertility and sexual function is limited. The long-term use of puberty blockers presents several uncertainties, particularly concerning fertility and sexual function.
Since these medications suppress the production of sex hormones during a critical period of sexual maturation, their extended use may impact the development of reproductive organs and future fertility.
For instance, individuals assigned male at birth who take puberty blockers might experience underdeveloped testes, potentially affecting sperm production later in life. Similarly, individuals assigned female at birth might have impaired ovarian function, impacting their ability to conceive. Additionally, there is concern that prolonged suppression of puberty may influence sexual function, including libido and the ability to achieve sexual arousal and satisfaction.
These potential effects underscore the importance of careful, individualised medical counseling and consideration of fertility preservation options, such as sperm or egg banking, before initiating long-term puberty blocker treatment.
Ongoing research is crucial to better understand these long-term impacts and to provide clearer guidance to patients and their families.
Additionally, genital tissue in transgender women may not be optimal for potential vaginoplasty later in life due to underdevelopment of the penis when using penile inversion vaginoplasty.
Several other methods such as bowel vaginoplasty, which uses part of the sigmoid colon to form the canal instead, or a peritoneal pull-through vaginoplasty which harvests a skin graft from the peritoneum are not affected by this as they do not require the penile tissue to form the vaginal canal.
https://en.m.wikipedia.org/wiki/Puberty_blocker”••••••••••••••••••
Yes, it should imho. Because of the consequences.