Assigned Male At Birth

Guide To Transfeminine Fertility

Welcome to our guide on transfeminine fertility. We’ll be walking you through the various important fertility concepts that trans women will want to consider, both during transition, and if they decide to build a family. We’ll cover everything from how transition impacts fertility, to the reproductive options for trans women, to fertility preservation strategies. We’ll also cover resiliency strategies that can help as you or someone you care about navigates this process.

This course is specifically designed for transgender, non-binary, and gender non-conforming communities. This guide is built for those who were “assigned male at birth.” You might also see us using phrases like “transgender women,” “non-binary people with testes,” “gender non-conforming people whose bodies produce sperm,” “transfeminine individuals” and other language. It’s often not possible to list out every category we’re referring to when talking about people who were assigned male at birth, but we hope that you still know that wherever you are on the trans spectrum, this information should be pertinent to you.

Data About Transfeminine Fertility

In the coming lessons, we’ll be discussing the details of trans fertility — from transition, to reproductive options, to fertility preservation. We’ll be explaining what is currently known, but unfortunately there is a stunning lack of data on these topics. So what we’re sharing is the clinical best practice today based on practitioners’ experience who specialize in treating trans patients, and on the experiences of trans patients themselves.

We hold ourselves to a very high educational standard in terms of sharing information backed by data, and we’re careful to call out in this guide where there simply is not enough data to make a perfect decision, or where the data we do allude to is from populations that might be different from yours.


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Trans Feminine Fertility

Going into transition, or even after, fertility can seem like an afterthought. But the decisions made throughout transition can have lasting impacts on fertility. We break down the important decisions you'll need to make about fertility preservation and reproductive options, balancing that with the desire for various steps in gender affirming transitions. We also cover resiliency strategies with tactical steps you can take to advocate for yourself during the process.