Yes, FTM individuals can pursue fertility options after starting HRT. There are a few different options available, including:

• Egg freezing: This involves retrieving eggs from the ovaries and freezing them for future use.
• Ovarian tissue cryopreservation: This involves removing a small piece of ovarian tissue and freezing it for future use.
• Sperm banking: This involves collecting and freezing sperm.

The best option for you will depend on your individual circumstances and preferences. It is important to talk to a doctor who is experienced in working with transgender people to discuss your options and make the best decision for you.

It is important to note that fertility options are not always successful. There is a chance that the eggs or sperm may not be viable after they are frozen. Additionally, the cost of fertility preservation can be expensive.

If you are considering fertility options, it is important to talk to a doctor about the risks and benefits before starting treatment.

Here are some additional resources that you may find helpful:

• The Trevor Project: https://www.thetrevorproject.org/: A national organization that provides crisis intervention and suicide prevention services to LGBTQ youth.
• Trans Lifeline: https://www.translifeline.org/: A national crisis hotline for transgender people.
• Gender Spectrum: https://www.genderspectrum.org/: An organization that provides resources and support for transgender and gender-diverse children, youth, and families.
• The Human Rights Campaign: https://www.hrc.org/: A national organization that works to achieve equality for LGBTQ people.

Yes, FTM individuals can pursue fertility options even after starting hormone replacement therapy (HRT). While testosterone therapy typically leads to a cessation of menstrual cycles and a decrease in fertility, it is still possible to preserve reproductive capabilities and pursue fertility options if desired.

Here are a few fertility options that FTM individuals can consider:

1. Egg Freezing: Prior to starting HRT, individuals can choose to undergo egg freezing (oocyte cryopreservation) to preserve their eggs for future use. This involves stimulating the ovaries to produce multiple eggs, which are then retrieved and frozen for later use. After transitioning, if the individual wishes to have biological children using their eggs, they can pursue assisted reproductive technologies such as in vitro fertilization (IVF) and use a sperm donor.
2. Embryo Freezing: If a partner is involved, FTM individuals may choose to create embryos through IVF before starting HRT. Eggs are retrieved, fertilized with sperm from a partner or a donor, and the resulting embryos are frozen for future use. This option allows for the preservation of genetic material from both partners.
3. Donor Sperm: FTM individuals who have not preserved their eggs or embryos can still have the option of using donor sperm for assisted reproductive procedures like intrauterine insemination (IUI) or IVF. This enables the individual to conceive a pregnancy using sperm from a donor.

It’s important to note that fertility preservation options and success rates can vary depending on factors such as age, individual health, and fertility status prior to HRT. It’s advisable to consult with a reproductive endocrinologist or fertility specialist who specializes in transgender fertility to discuss the available options, the best course of action, and the potential success rates based on individual circumstances.

Starting HRT does impact fertility, but it doesn’t necessarily mean that fertility options are completely off the table. It’s important to have open discussions with healthcare professionals early on in the transition process to explore and plan for fertility preservation if desired.