Welcome to our guide on trans masculine fertility. We’ll be walking you through the various important fertility concepts that trans men will want to consider, both during transition, and when they decide to build a family. We’ll cover everything from how transition impacts fertility, to the reproductive options for trans men, 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 female at birth.” You might also see us using phrases like “transgender men,” “non-binary people with ovaries and a uterus,” “gender non-conforming people whose bodies produce eggs,” “trans masculine 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 female at birth, but we hope that you still know that wherever you are on the transmasculine spectrum, this information should be pertinent to you.
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.
Guide to fertility for trans men, covering the fertility impact of hormonal transition with testosterone, fertility preservation steps to consider before transitioning, and reproductive options for trans men from coming off of hormones for unassisted conception to IUI, IVF, or third party reproduction like donor eggs or surrogacy. We also discuss transitioning before puberty and how that impacts fertility options.