No matter how you identify, CNY is always by your side. We believe parenthood is a joy that every human being has the RIGHT to experience and enjoy.
Since the day we opened our doors, now over 20 years ago, we have had an open door policy meaning we turn no one away. Not only does this make us innovators in the science of reproductive medicine, but also highly progressive in the way we have always viewed the LGBTQ and particularly the trans community.
So, no matter where you are in your journey, our team is here to help guide you in becoming the parent you’ve always dreamed of becoming. So please, don’t hesitate to reach out for further assistance in building your dream family.
Depending on where you are in life, there are many different options that can be used to expand your family.
Prior To Transition
Freezing your Eggs
Egg freezing is a very important option for many F to M who have thought ahead and would like to use their own eggs to have a genetically related child in the future. Because testosterone can significantly change your body included the production of eggs, freezing your eggs is best if done before any testosterone treatment. However, if you have already started a hormonal transition, you can temporarily stop the testosterone medication thus allowing for the development of eggs. Of course, if you have already started testosterone, it can not be guaranteed that egg development will return adequately enough to freeze eggs.
If you have a partner
Depending on your partner’s reproductive capabilities, you have many options available to expand your family.
If you are partnered with a cisgender woman, your eggs or the eggs of your partner can be used to create an embryo with donor sperm. That embryo can then be transferred into your partner who would carry the child through pregnancy.
If partnered with a cisgender man your partner’s sperm can be used to inseminate your eggs via IUI or IVF.
If you are partnered with a trans woman, your eggs could potentially be inseminated with your partner’s sperm or with donor sperm to create an embryo. This embryo could then be transferred to your uterus as the carrier of your child.
If you partner is another trans male, expanding your family would likely involve using donor sperm to fertilize your or your partner’s eggs. The embryo created from this insemination would then be transferred to you, your partner or a gestational carrier.
Your reproductive options after your transition depend greatly on whether you froze eggs and the reproductive capabilities of your partner if you have one. Many of your options include your frozen eggs, partner eggs, or donor eggs in combination with sperm via IUI or IVF. Often, you may need a gestational carrier to carry your child through pregnancy.
For a transgender woman, there are many potential options for your fertility treatment.
Pre-transition fertility option
Sperm Banking – Fertility Preservation
If you’ve been thinking ahead about your future family before undergoing a sex reassignment surgery and/or hormone therapy, sperm banking is an important first step to consider, particularly if you do not have a partner. It has been shown that estrogen exposure to the testes is associated with testicular damage meaning the most successful option for your reproductive success is the preservation of your sperm prior to transition. If you happen to have already started your hormone therapy, you can temporarily pause this treatment and take the important fertility preserving measures by freezing your sperm. This frozen sperm can then be used for a number of treatments down the line.
IUI, IVF, and Surrogacy
If you have yet to undergo your transition, your treatment options largely depend on your partner reproductive capabilities.
If you have a cis female partner treatment options like IUI and IVF can be a great option whether you are using fresh or frozen sperm.
If your partner is a cis male or trans female then you will likely need to find donor eggs and a carrier for the pregnancy.
If your partner is a trans male, depending on where he is in his life, it is possible that you will need neither donor eggs or sperm or that you will need both donor eggs and donor sperm along with a gestational carrier.
If you’ve already completed your transition and you have frozen sperm, it is likely that you can take advantage of the IUI or IVF procedure with either your partner or a gestational carrier as the person who carries the pregnancy.