Reproductive Health

Many trans people have children, and there are many options for doing so. This page will focus on reproductive planning.

Planning for reproduction

If you are planning to have children, you may wish to consider freezing sperm*sperm* (with an asterisk) is used to acknowledge the many different words that are used for this body part. or eggs*eggs* (with an asterisk) is used to acknowledge the many different words that are used for this body part. prior to starting hormone therapyHormone Therapy (HT): administration of sex hormones for the purpose of bringing one’s secondary sex characteristics more in line with one’s gender identity; hormone replacement therapy; HRT; transhormonal therapy. or having gender-affirming surgeryGender-affirming surgery: range of surgeries that create physical characteristics that are in line with one’s gender identity, including vaginoplasty, breast augmentation, chest surgery, and phalloplasty; sometimes referred to as sex reassignment surgery (SRS)..

If you have already started on hormone therapyHormone Therapy (HT): administration of sex hormones for the purpose of bringing one’s secondary sex characteristics more in line with one’s gender identity; hormone replacement therapy; HRT; transhormonal therapy., it may be possible to take a break.

  • After a 3 month break from feminizing hormonesFeminizing Hormone Therapy: the use of medications (e.g. estrogen, anti-androgens, progestins) to develop physical characteristics that are in line with one’s gender identity or gender expression, including breast development, more fat on the hips, thighs, and buttocks, and softer skin., sperm* should be back to 80% of previous levels, and by 6 months it should be 100%. If fertility has not resumed after 6 months, it is not likely to return.
  • There is no set timeline for how long you can be on testosterone and still be able to take a break and produce eggs*. Generally, the younger you are and the less time you have been on testosterone the better the outcomes. If you have been on testosterone for 10 years or more, or are over age 40, you are less likely to produce viable eggs*.

What is the process and how much does it cost?

  • The processing fee for sperm* is about $200. The storage costs are about $200 per year.
  • The process for harvesting eggs* is more complicated. You would take a break from hormones, then take shots twice a day for 10-14 days to stimulate multiple eggs*. A vaginal*vagina* (with an asterisk) is used to acknowledge the many different words that are used for this body part. probe is used to harvest the eggs* in a short office visit at a fertility clinic. You will be sedated during the procedure. The cost for the procedure is about $8000, plus $3000 for medications. Once the eggs are removed, they are frozen and can remain frozen for years. When you or a partner is ready to get pregnant, the fertilization and implantation process is costs about $3000 per try.

What happens if I get pregnant while taking testosterone?

It is possible to get pregnant while on testosterone, so contraception is recommended. You can discuss the best contraception options for you with your primary care provider. If contraception fails, see your healthcare provider immediately. There are risks to a fetus if you are taking testosterone, especially during the first trimester.

How do I choose a fertility clinic or care provider?

Questions you may wish to ask a prospective clinic or care provider are:

  • How many trans patients have you treated before?
  • What are your success rates?
  • Are you familiar with chest-feeding for trans guys?
  • Ask other trans people for recommendations.

You can also take a look at their waiting room to see if they have inclusive materials, or their forms to see if they are gender inclusive.

How can I find out more information?

Feel free to Contact Us for recommendations of clinic or providers in your area. We will do our best to connect you with someone.