Exploring Fertility Preservation: A Guide for Those Transitioning

As individuals embark on their journey of transitioning, whether it be gender transition or personal identity affirmation, many may consider the impact on their reproductive health and future family planning. For both men and women, fertility preservation can be a vital step in safeguarding reproductive options for the future. In this blog, we’ll explore the reasons for considering fertility preservation, the methods available, and resources specifically tailored for those in Canada.

Why Consider Fertility Preservation?
  • Hormonal Treatments: Transitioning often involves hormonal treatments that can affect fertility. For trans men, testosterone therapy may lead to decreased ovarian function, while trans women may face challenges related to sperm production after starting estrogen therapy. Preserving fertility before beginning these treatments can help maintain reproductive options later in life.
  • Surgical Procedures: Many individuals choose to undergo surgeries as part of their transition. Procedures such as chest surgery for trans men or gender-affirming surgeries for trans women can affect reproductive capabilities. Fertility preservation prior to surgery ensures that individuals have the opportunity to conceive in the future if they choose to do so.
  • Family Planning: Whether an individual envisions having children biologically, through surrogacy, or by adoption, exploring fertility preservation allows for greater flexibility in family planning. Knowing that options are available can provide peace of mind during a significant life transition.
Methods
  • For Trans Women (Assigned Male at Birth):
    • Sperm Banking: This is the most common method of fertility preservation for trans women. Sperm is collected and frozen for future use in assisted reproductive technologies such as IVF (in vitro fertilisation). It is recommended to bank sperm before starting hormone therapy or undergoing surgery.
  • For Trans Men (Assigned Female at Birth):
    • Egg Freezing: Trans men can consider egg freezing, a process in which eggs are retrieved from the ovaries and frozen for future use. This procedure is typically performed before starting testosterone therapy or undergoing surgeries that may affect ovarian function.
    • Embryo Freezing: For those in a committed relationship, creating and freezing embryos (fertilised eggs) may be an option. This process involves ovarian stimulation, egg retrieval, and fertilisation with a partner’s sperm.
Canadian Resources for Fertility Preservation
  • Canadian Fertility and Andrology Society (CFAS): CFAS offers a wealth of resources and information on fertility preservation options for LGBTQ+ individuals, including finding clinics and specialists experienced in fertility treatments.
  • Fertility Clinics: Many fertility clinics across Canada offer specialized services for individuals undergoing transition. Clinics like TRIO Fertility Mississauga provide comprehensive consultations to discuss options for sperm banking, egg freezing, and embryo storage.
  • LGBTQ+ Support Groups: Organizations such as the LGBTQ+ Community Centre and Rainbow Health Ontario provide valuable support and resources for those navigating the complexities of transition and reproductive health.
  • Counselling Services: Fertility preservation decisions can be emotional and complex. Seeking counselling services that understand the unique needs of transitioning individuals can provide support throughout the process. The Canadian Mental Health Association (CMHA) is a great resource to find support services.

Transitioning is a deeply personal journey, and for many, exploring fertility preservation is an important consideration. By understanding the options available and accessing Canadian resources, individuals can make informed decisions about their reproductive health and family planning. At TRIO Fertility Mississauga, we are committed to supporting everyone in their reproductive journey, providing compassionate care tailored to individual needs. If you have questions about fertility preservation, don’t hesitate to reach out to our team for guidance and support.

Taking control of your reproductive future is an empowering step, and we are here to help you every step of the way!

Resources