Starting hormone therapy as an MTF (male-to-female) individual typically leads to decreased fertility due to the effects of hormone treatment on sperm production and reproductive function. However, it’s important to note that everyone’s experience with hormone therapy and fertility is unique, and some individuals may still retain some level of fertility even after starting hormone therapy.

If preserving fertility is a concern, there are several options to consider:

  1. Pre-Hormone Therapy Sperm Banking: Prior to starting hormone therapy, individuals can choose to bank their sperm at a sperm bank or fertility clinic. Sperm banking involves freezing and storing sperm for future use in assisted reproductive techniques, such as in vitro fertilization (IVF) or intrauterine insemination (IUI). This allows the individual to have the option of biological parenthood later on.
  2. Pausing Hormone Therapy: Some individuals may choose to temporarily pause hormone therapy to attempt to conceive a child. This would involve working closely with a healthcare provider to monitor hormone levels and fertility during the pause.
  3. Assisted Reproductive Technologies: Assisted reproductive technologies, such as IVF, IUI, or in vitro maturation (IVM), can be utilized in conjunction with donor sperm to achieve pregnancy. This would involve working with a fertility specialist or reproductive endocrinologist to explore the most suitable options.

It is important to consult with a fertility specialist or reproductive endocrinologist who has experience working with transgender individuals. They can provide personalized guidance and help explore the available fertility preservation options based on individual circumstances, hormone therapy regimen, and reproductive goals.

It’s recommended to have discussions about fertility preservation and explore options before starting hormone therapy if fertility preservation is a priority. However, even if hormone therapy has already been initiated, it is still worthwhile to consult with a fertility specialist to discuss possibilities and available options.

Yes, MTF individuals can pursue fertility options after starting hormone therapy. However, it is important to note that hormone therapy can have a significant impact on fertility.

Here are some of the things to consider if you are an MTF individual who is interested in pursuing fertility options:

  • The type of hormone therapy you are taking. Some types of hormone therapy, such as testosterone blockers, can have a more significant impact on fertility than others.
  • How long you have been taking hormone therapy. The longer you have been taking hormone therapy, the more likely it is that you will have difficulty conceiving.
  • Your age. Your age is also a factor that can affect your fertility. Older individuals are more likely to have difficulty conceiving than younger individuals.

If you are interested in pursuing fertility options, you should talk to your doctor about the best course of action. Your doctor can help you to understand the risks and benefits of different fertility options and can help you to make the best decision for you.

Here are some of the fertility options that may be available to you:

  • Egg freezing. Egg freezing is a process in which eggs are removed from your ovaries and frozen for future use. This is a good option if you are interested in having biological children in the future.
  • Sperm banking. Sperm banking is a process in which sperm is collected and frozen for future use. This is a good option if you are interested in having biological children with a partner.
  • Adoption. Adoption is a great way to become a parent, regardless of your gender identity. There are many different types of adoption available, so you can find a process that is right for you.

No matter what fertility option you choose, it is important to remember that you are not alone. There are many people who have gone through this process and who can offer support and guidance.