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Last night critics said cash-strapped health authorities should not be spending up to £34,000 per patient to help them change sex and have children when they are rationing basic services such as cataract operations, hip replacements and even hearing aids.

But one of Britain’s leading sex change doctors defended the practice, saying patients undergoing gender reassignment surgery had as much right to preserve their fertility as young people with cancer who freeze their eggs or sperm before having chemotherapy.‘Why are people with cancer particularly magic and get this [NHS fertility treatment], and other people don’t?

No female to male transgender patient has yet completed this process in Britain, but Dr Barrett said: ‘There may be some who are on the brink of doing so,’ indicating there were three people in this position.

Some people will say that, by offering sperm and egg freezing to transgender people, we are mucking around with the natural order of things.We shoot the pictures and video ourselves which means it's unique.We think you'll find our orgasm erotica rather special.One transgender candidate for the treatment is 17-year-old Riley Middlemore, born Rebecca, who wants to freeze eggs before transitioning to a man, so in the future – using donor sperm – his girlfriend would be able to become a surrogate and give birth to their child.But Michael Nazir-Ali, the former Bishop of Rochester, said the procedure risked upsetting ‘the natural order’ and said children would be ‘confused by not knowing if the parent is a father or a mother’.

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