Fertility

How successful is fertility preservation?

As with fertility treatments in cisgender people, there is no guarantee of success. Not all sperm and eggs may survive the defrosting process, and there is no guarantee of successful fertilisation. However, there is no difference in success rate between frozen sperm/eggs and fresh sperm/eggs. If you are considering fertility preservation ahead of medical transition, it is best to do it before you start taking hormones. Although there is promising evidence that fertility is possible after coming...

What happens if my teen doesn't want to store their sperm/eggs?

Ultimately this should be their decision. For many young trans people, the physiological changes of puberty or even the idea of future reproduction can be a source of severe distress. They may not be interested in having biological children, or they may not want to undergo the physical and mental stress of fertility preservation treatments. It is important to remember that putting them under pressure will have negative consequences for their mental health, and that they will benefit most from be...

How should I talk to a transgender young person about fertility?

Conversations about sex are stressful for young people, especially when it concerns themselves. Trans youth are likely to already feel confused and alienated with regards to their bodies, and trying to make them think too much about physiological factors like sex and pregnancy could pressure them into making an uninformed decision. Talking clearly about their options in terms of reproduction rather than sex will produce a better narrative, and emphasise that fertility options are about future fa...

Is loss of fertility a risk?

While it is understood that some gender-affirming treatments can impact fertility, the risks are discussed at length with any patient undergoing any kind of treatment that may impact their fertility. It is important to note that there is plenty of evidence to suggest that this is not the inevitable outcome of gender affirming hormone treatment (https://www.gendergp.com/latest-thinking-fertility-transgender-non-binary-youth/). For full information about fertility options visit our website (https...