In general, scrotoplasty will not affect your ability to undergo future fertility treatments. Scrotoplasty is a surgery that is performed to create or reconstruct the scrotum. It does not affect the testicles or the ability to produce or store sperm.

However, there are a few potential exceptions. For example, if you have scrotoplasty that involves the use of implants, these implants may make it more difficult to access your testicles for fertility treatments. Additionally, if you have scrotoplasty that involves the removal of tissue, this may reduce the amount of sperm that you produce.

If you are concerned about how scrotoplasty might affect your ability to undergo future fertility treatments, it is important to talk to your surgeon. They will be able to give you more specific information about your individual circumstances and the potential risks and benefits of scrotoplasty.

Here are some resources that may be helpful:

  • The World Professional Association for Transgender Health (WPATH):
  • The Trevor Project:
  • Trans Lifeline:
  • The American Society for Reproductive Medicine:

Scrotoplasty, which involves creating or reconstructing a scrotum, does not directly impact fertility or the ability to undergo future fertility treatments. The scrotum is primarily responsible for housing and supporting the testicles, which produce sperm.

However, it’s important to note that scrotoplasty is typically performed as part of a broader gender-affirming surgical process for individuals assigned female at birth (AFAB) seeking masculinization. This process often involves other interventions, such as hormone therapy, which can have an impact on fertility.

Hormone therapy, commonly used in gender-affirming care for AFAB individuals, can affect fertility by suppressing ovulation and reducing the production of eggs. Testosterone, the hormone commonly used in masculinizing hormone therapy, can also lead to a decrease in fertility by inhibiting sperm production.

If fertility preservation or future fertility treatments are important to you, it is crucial to discuss your goals and concerns with your healthcare provider before proceeding with scrotoplasty or any other gender-affirming interventions. They can provide information about the potential effects of hormone therapy and other interventions on fertility and guide you on options for fertility preservation, such as sperm freezing or egg retrieval.

In some cases, it may be advisable to pursue fertility preservation options before starting hormone therapy or undergoing scrotoplasty. This allows you to preserve your reproductive gametes (sperm or eggs) for potential future use.

Every individual’s situation is unique, and the impact of gender-affirming interventions on fertility can vary. It is important to have open and honest conversations with your healthcare provider who specializes in transgender healthcare and fertility to ensure that you have a clear understanding of the potential effects on fertility and explore available options for fertility preservation if desired.

Remember that discussing fertility options and making informed decisions about your reproductive health is a personal and individual process. Work closely with your healthcare provider to ensure that your goals and concerns regarding fertility are addressed, and that your overall gender-affirming care is coordinated effectively.