FA-2025-000058 - [2025] EWHC 2685 (Fam)

Dr. Coxon’s report dated 11^th January 2023

Dr. Coxon is the Clinical Assistant to Dr. Seal. The report recorded (“Presenting Condition”) “Gender incongruence; trans man”; “Male chest reconstruction surgery, February 2020”; “Started taking testosterone therapy around November 2019. Stopped around April 2020 with the aim of achieving fertility (having been on Testogel, 2 applications daily)”; and “Had rounds of IVF (around January and June 2022) unsuccessful”.

Under “Medical History” the report noted:

“The last consultation in the core side of the clinic here was with Dr J Barrett, January 2021: there was a supportive first opinion for a referral for genital surgery. It was noted that [W] was about to undergo IVF so was off testosterone therapy.

…

As above, [W] tried IVF twice, using sperm donors (once privately in the UK, once in [abroad], not able to secure on the NHS “on the basis of being trans”, which seems worrying), he is aiming to try again in [abroad] around October 2022, focusing on optimising diabetes control between now and then.”

Dr. Coxon also noted that they had discussed whether to recommence testosterone therapy for a short period, ahead of his intention to try IVF for a third time. It recorded that “on balance, [W] would prefer to do everything he possibly can to maximise his chances of fertility and although one could consider short burst of the testosterone therapy, he would prefer to stay off it until he has tried that next IVF treatment” and that “once the issue of fertility has been resolved one way or another, testosterone therapy can of course be recommenced.”