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I think nearly all trans kids have mature gametes by the time they start blockers or cross-sex hormones? Gametes mature early, thus how some ten-year-olds can get pregnant. Definitely agree we should automatically preserve gametes as part of the standard of care for trans kids.
Nope, neither males nor females produce mature gametes sans puberty. Some children become pregnant at age 10 because some children go through puberty prior to age 10.
https://www.ncbi.nlm.nih.gov/pubmed/28161526 says that 91% of trans girls and 96% of trans boys in their sample had gametes mature enough for preservation.
"Five children were prepubertal, no hormone therapy was considered, and they were therefore excluded." It sounds like their inclusion criteria excluded children who had not gone through puberty.
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