Reproductive Options for Trans People - Published March 2024 by Rainbow Health Ontario

Knowing and discussing reproductive options is a necessary component of informed consent to transition-related care and is a significant component of the World Professional Association for Transgender Health’s Standards of Care for the Health of Transgender and Gender Diverse People Version 8. [...] Because of this, it is preferable to bank sperm before starting a hormone regimen, especially for lesbian, bisexual or queer transfeminine people who may want to use their sperm to inseminate a current or future partner(s) who have the ability and desire to carry a pregnancy. [...] A transfeminine person whose partner is unable to carry a child themselves may wish to become a parent by using a donor egg and a gestational surrogate. [...] Fertility Impacts of Gender-Affirming Surgeries for Trans People With Ovaries And/or a Uterus If you have surgery to remove your uterus (hysterectomy), you will no longer be able to carry a pregnancy, but a partner, co-parent or surrogate who has a uterus may be able to carry a pregnancy that uses your egg(s) through reciprocal IVF. [...] Abortion providers may assume that the people accessing their services will be cisgender women; your care provider may be able to assist by making a referral on your behalf to ensure clinic staff know the correct pronouns, name, and terminology to use for you and your body.