Gender transition is a complex, life-changing decision. But family-planning in this process can be very simple. Wherever you are in your own transition, our team will support you with progressive reproductive care and treatment options to help you achieve your dream of building a family.


With expanding fertility treatment options for trans men and women comes a greater demand for expanded insurance coverage. Today we’re seeing exciting growth in the number of insurance providers and plans offering coverage for egg and sperm freezing for transgender people.


We regularly assist parents who would like to support their transgender teen, but don’t necessarily know where to begin. We are here to help if you need us – don’t hesitate to call or email!



If you are transitioning from female to male, the most important thing to keep in mind is that planning ahead, when possible, is extremely helpful.

Fertility Preservation For Transmen

If you would like to use your own eggs to have genetically related children at some point, freezing your eggs opens every possible door for your future family building as a transgender man. The younger you are when you freeze your eggs, the higher your chance of a successful pregnancy when you are eventually ready to build your family. This is because egg quantity and quality diminishes with age. Another advantage to freezing your eggs when you’re younger is that it negates the need to interfere with hormone replacement therapy further down the line.

Once frozen, eggs can will remain usable and stable indefinitely — you are truly free to build your family on your own timeline.

Single Transmen

If you are able to plan ahead prior to transitioning, you have the option of becoming pregnant yourself through IUI using donor sperm.

Transmen Partnered with Cisgender Women

If you have frozen eggs, you have the option of undergoing PAR (Partner Assisted IVF / Reciprocal IVF) with your cisgender female partner. In this case, your frozen eggs can be combined with donor sperm to create embryos, which are transferred via IVF into your partner, who carries the pregnancy.

Transmen Partnered with Cisgender Men

If you have frozen eggs, you have the option of creating embryos with your eggs and your partner’s sperm. You would then transfer the embryos via IVF into a gestational carrier.

Transmen Partnered with Trans Women

If you have frozen eggs, you could inseminate your frozen eggs with your partner’s sperm (if available) or with donor sperm to create embryos. The embryos would then be transferred via IVF into a gestational carrier.

Transmen Partnered with Transmen

If you have frozen eggs, your eggs may be inseminated with donor sperm to create embryos, which would then be transferred via IVF into a gestational carrier.


Planning ahead is important for men transitioning to women who would like the choice to have genetically related children in the future. For transwomen, this means freezing sperm prior to transition.

Fertility Preservation Prior to Hormonal Transition

Hormone therapy will likely suppress sperm development, so if you would like to offer yourself the chance to parent a genetically related child in the future, we recommend freezing your sperm. In doing so, you set yourself up for more options when you are ready to build your family.

We work with award-winning cryobanks who will support you through the process of freezing your sperm. Your doctor will coordinate with the cryobank to streamline the relatively simple process of sperm freezing. If you decide to freeze your sperm after beginning hormone therapy, a temporary pause in therapy is necessary to produce a healthy specimen.

Before Hormonal Transition: Transwomen partnered with Cisgender Women

The easiest option is traditional conception via sexual intercourse. If it is determined that you or your female partner has an infertility issue, health insurance may cover payment for treatment.

After Hormonal Transition: Transwomen Partnered with Cisgender Women

After hormonal transition, transwomen are very likely sterile. This is why it’s important to freeze sperm when possible—frozen sperm can be used to inseminate your female partner using IUI or IVF.