The most important factor in maintaining fertility options for transgender people is to give careful considering before transitioning. Reproductive tissues can be preserved through cryopreservation for use in reproductive procedures in the future when you are ready to start your family.
Frozen sperm can be used for IUI procedures or for IVF to create embryos using a designated egg donor.
Eggs can be successfully frozen today with post thaw fertility potential nearly identical to fresh eggs. Patients who are transitioning will need to stop their testosterone injections or other hormonal treatments for several months prior to initiating ovarian stimulation to develop eggs for the cycle. The eggs can be frozen as eggs, or inseminated with sperm to create embryos to be frozen.
Transgender patients should talk with their doctors and counselors about the treatment options that are available for their situation.