Yes, phalloplasty can affect your eligibility for future fertility preservation options. Phalloplasty is a type of surgery that is performed to create a penis in transgender men. The surgery involves taking tissue from another part of the body, such as the arm or thigh, and using it to construct a penis.

During phalloplasty, the surgeon may remove the testes, which are the male gonads that produce sperm. If the testes are removed, it will no longer be possible to produce sperm. This means that phalloplasty can make it more difficult to preserve fertility for future use.

However, there are some fertility preservation options that may still be available to people who have had phalloplasty. For example, it may be possible to freeze sperm before phalloplasty. This would allow the person to use their own sperm to conceive a child in the future.

It is important to talk to a surgeon about your individual circumstances and fertility preservation options before having phalloplasty. The surgeon will be able to assess your eligibility for fertility preservation and help you make the best decision for yourself.

Here are some additional resources that you may find helpful:

  • The World Professional Association for Transgender Health (WPATH) Standards of Care:
  • The American Society of Plastic Surgeons (ASPS) website:
  • The Trevor Project:

Phalloplasty surgery, which involves the creation of a neophallus, can potentially affect future fertility preservation options. It is important to discuss your specific goals for fertility preservation with a healthcare provider or fertility specialist before undergoing phalloplasty.

Phalloplasty typically involves the use of donor tissue or tissue grafts from other areas of the body to create the neophallus. This may involve the removal or alteration of reproductive organs or structures, such as the uterus or ovaries, which can impact fertility.

If preserving fertility is a priority for you, there are several options that can be considered before undergoing phalloplasty. These may include fertility preservation techniques such as sperm banking or egg freezing, depending on your assigned sex at birth and your reproductive goals. It is important to discuss these options with a fertility specialist to understand the feasibility and timing of fertility preservation in your specific case.

Every individual’s situation is unique, and the potential impact on fertility will depend on various factors, including the specific surgical technique used, any pre-existing fertility issues, and your reproductive health prior to surgery. Your healthcare provider will guide you through the discussion and help you understand the potential impact on fertility and the available options to preserve your reproductive potential.

It is crucial to have open and thorough conversations with your healthcare provider, fertility specialist, and any other members of your healthcare team involved in your care to ensure that your reproductive goals are considered and addressed as part of your overall treatment plan.