Information for Trans and Non-binary Fertility Preservation - Sperm Freezing

Are there any alternatives if I cannot have fertility preservation before my treatment starts?

If you decide not to store sperm before treatment or it is not possible before starting hormone therapy or undergoing gender-related treatment, fertility options may be limited in the future. Stopping hormone treatment may allow your fertility to recover and for you to try for a natural conception, but do discuss this with your gender clinic team first. If sperm is not available for use later or if sperm freezing is not an option for you, there are still alternative ways to build a family:

• Use of Donor Sperm: If you are unable to produce sperm after treatment, using donor sperm for fertility treatments may be an option when you’re ready to start a family.
• Adoption: Adoption is another way to build a family. This option can be explored at any time and may be a suitable alternative if biological conception is not possible.

It’s essential to discuss these alternatives with your fertility specialist and gender care team to ensure you choose the best option based on your medical situation, treatment plan, and personal goals. Each option has different implications, and your healthcare team can provide tailored guidance.