Are you a transgender male or female interested in having genetically related children today or at some point in the future? When going forward with a transition, you have many options for future genetic children. If prior to transition, we may recommend freezing your eggs or sperm before going forward with surgery or hormonal treatment.
FEMALE TO MALE (TRANSGENDER MEN)
The effect of prolonged treatment with exogenous testosterone on the ovaries function is still being researched. Testosterone therapy usually leads to anovulatory state and amenorrhea, which is sometimes reversible upon discontinuation of testosterone therapy.
INTRAUTERINE INSEMINATION (IUI)
IUI increases the number of sperm that can reach the Fallopian tube, subsequently increasing the chance of fertilization. This treatment offers sperm an advantage by giving it a head start. Sperm also bypasses the cervical mucus that in some cases inhibits the sperm progression. Best results are achieved when the IUI is performed exactly at the time of spontaneous ovulation. An artificial ovulation trigger in form of hCG (pregnancy hormone) can further optimize insemination timing.
RECIPROCAL IVF (CO-IVF)
During this treatment, both females in a couple have the opportunity to use their eggs or carry the pregnancy. The couple can choose to use the same egg/sperm source, thus giving birth to 100% genetic siblings, or create embryos from each female.
DONOR EGG TREATMENT WITH GESTATIONAL CARRIER
Pregnancy help using donor eggs combined with gestational surrogacy are options for couples in the LGBT community. A gestational carrier is a woman with no genetic tie with the child she is carrying and who have been thoroughly screened in advance. The average wait to be matched with a GC is 3-6 months. All GCs must seek legal counsel, even when working with a friend or family member.