Many transgender individuals hope to one day become biological parents. Gender affirming medical care — including hormonal and surgical treatment — can be harmful to future fertility. Our specialists are here to counsel you on the fertility preservation options available before and during gender-affirming treatment.

We work closely with the experts at The Center for Transgender and Gender Expansive Health to make sure you receive comprehensive and compassionate care.

Fertility Preservation Treatment Options

Treatment options vary based on your individual circumstance, but include:

• Egg freezing
• Embryo freezing
• Ovarian tissue freezing and reimplantation
• Sperm freezing (sperm banking)

Fertility Preservation for Transgender Patients: What to Expect

At your initial consultation, you will meet with our fertility team to discuss your treatment plan and the risks those treatments may pose to your fertility. We will also review your medical history, health goals and the fertility preservation options we offer.

Your doctor will then perform diagnostic tests — such as pelvic ultrasound and bloodwork — to evaluate your fertility.

Once we have decided on the best course of treatment, we will perform the desired procedure and coordinate the timing of your trans-specific treatments with your medical team.

When You’re Ready to Take Action

1. Talk to your medical team about your interest in fertility preservation. If you are a patient at Johns Hopkins Medicine, your medical team will connect you with our fertility specialists.
2. If you are not a patient at Johns Hopkins, contact us to schedule your consultation. Email us at [email protected], or complete this appointment inquiry form.
3. Contact your insurance provider to learn more about your coverage. Our financial coordinators will also help you learn what your insurance covers and share supplemental resources available to you to offset cost.
4. Plan for flexibility — you may be given short notice to come in for an appointment.