ANDY INKSTER, a transgender man, had always wanted biological children. So when he embarked on the transition from female to male at age 18 — changing his name, taking testosterone and eventually undergoing surgery to remove his breasts — he left his female reproductive organs intact.
In his mid-20s, he decided it was time. He stopped taking testosterone and started trying to get pregnant. Eventually, in 2009, after beginning graduate school at the University of Massachusetts at Amherst, he sought fertility treatment at Baystate Reproductive Medicine. Baystate was one of the few clinics in the country with an anti-discrimination policy for gender identity. And yet, it refused to treat him, arguing that it didn’t have enough expertise to treat transgender patients. Mr. Inkster insisted there was no medical reason to deny him; his baby-making parts were the same as any woman’s.