Can transgenders reproduce?

Hi, I’m a transsexual woman (MTF, born male) and currently with my boyfriend we want to create a family. I still haven’t undergone genital surgery but have already been visiting various clinics to do it… But before doing it we would like to make sure that we keep our options open to having children, so what are our options at this point? Can I use my eggs? I’ve been on estrogen therapy for almost 12 months, does it affect my reproductive options?
Pls help us, we’re more than ready to have babies!!!

Dear Amalia & Bernard,

As you may already know, genital surgery can give transsexual women a functional vagina but it’s not possible to give her ovaries, uterus and cervix. In other words, it’s not possible for transsexual women to get pregnant.

If you still haven’t undergone surgery, you still have the chance to get your partner pregnant, although you may not feel comfortable with it. In such case, you can also opt for sperm banking for later use. When the time comes for you to have children (maybe after undergoing surgery), you can use it with the eggs of your partner and place the resulting embryo into the uterus of a gestational surrogate through IVF. With this option, the resulting child will be 100% yours genetically. Recommended for you: What Is IVF Surrogacy? – Process, Success Rates & Cost.

If you’ve been through estrogen therapy for a while, my advice is that you stop it as soon as possible. After some time, you may allow your sperm production function to resume. Although, depending on the case, the amount produced may be insufficient as to cause a pregnancy even if assisted conception techniques are used.

If you want to contact fertility clinics to get further advice, my advice is that you complete the following questionnaire for free: Cost Estimator for IVF.

I hope this helps,

Best