Male to Female Transgender Fertility Preservation

Males transitioning to identify as female are advised to consider fertility preservation options prior to transition.

Prior to Transition

male to female transgender conceptionConception Prior to Transition
For those who are married or partnered with a woman, the easiest option is to proceed with traditional conception. If the female partner is under 34 and a couple has tried to become pregnant for a year, consultation with a fertility specialist is advised. If female partner is over 34, consult a specialist for testing and evaluation after 6 months of trying to become pregnant without success.

If either partner has an infertility issue, health insurance may cover payment for treatment.

Partnered with a Man
IVF ( in vitro fertilization) with an egg donor and gestational surrogate will be necessary. Read more ...

Sperm Banking Prior to Transition
If not partnered, or not yet ready to have children, sperm banking prior to transition needs to be done before starting hormonal therapy. You would use the services of a commercial sperm bank and incur the cost of freezing your sperm. Banking multiple specimens is advised.

After Transition

Partnered with a Woman
If partnered with a woman conception is attempted using banked sperm to inseminate the female partner through intrauterine insemination.

Partnered with a Man
IVF (in vitro fertilization) using an egg donor to provide eggs and a gestational surrogate to carry the pregnancy will be required. Banked sperm can be used for insemination.


This information is provided by IVF New England for general education purposes and is not intended to take the place of a discussion with your physician. If you have questions about any aspect of your health, you are advised to speak with your physician.

M to F Transgender Fertility Preservation
Males transitioning to identify as female are advised to consider fertility preservation options prior to transition.