“…It must be noted, however, that the underutilization of services by female-to-male patients may be a consequence of these patients not identifying with typical gender roles attributed to women, like motherhood [11]. Additionally, the limited service uptake by transgender patients may be associated with the substantial difficulties faced by LGBT subgroups, including limited financial resources, discrimination, and poorly-educated health professionals [1,2,15,19,20]. Further research is needed to examine utilization of fertility services in LGBT subgroups, specifically transgender individuals, to substantiate these deductions.…”