Transgender Parents

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Reproductive Medicine Associates of New York supports the goals of all individuals desiring a family, and is proud to provide fertility care to meet the needs of transgender patients. Our clinicians are able to offer options suited to you and your partner, if you have one. Trans parents are now having more biological children than ever. Attention to reproductive care is an important component of providing comprehensive care for transgender individuals. We are here to answer your questions and provide expert treatment.

RMA of NY has been acknowledged by the Human Rights Coalition as a “Leader in LGBT Healthcare Equality” as a result of our inclusive policies and continued commitment to training, education, and outreach. We care equally about all of our patients and are proud to offer inclusive care to all prospective parents.

70At RMANY we understand the importance of respecting our patients’ identities. Our staff recognizes that patients have a wide range of gender identities and reproductive capabilities. Trans women and trans men as well as prospective parents who identify as genderqueer, non-binary, or gender nonconforming are all welcome here.

Whether you are single or coupled, we are here to support you along your journey to starting a family. Treatment models exist to meet the needs of single or partnered patients before, during, or after medical transition.

Fertility treatment for trans women and trans men can allow you to have a baby in cases where healthy sex cells (i.e. eggs, sperm) are available, whether they are harvested or banked samples. Preservation of sex cells is best performed in advance of your medical transition. Hormone regimens affect reproductive function. Freezing sperm or ova (eggs) is simpler and statistically more effective before hormone therapy begins.

In the case of trans women with testes, parenting a biological child is a direct process. The same goes for trans women who have sperm banked. If your partner has a viable uterus, they may desire to carry the child to term after insemination. If need be, surrogate matching services are available to pair you with a woman able and willing to carry the pregnancy to term.

Estrogen will reduce the testicular volume of trans women. If you decide to freeze your sperm after beginning hormone therapy, a temporary pause in your hormone therapy may be necessary in order for you to produce an optimal specimen. Barring that, using weak sperm samples or surgical extraction of sperm cells may be employed.

Breastfeeding is understood to be good for both parent and baby. The social and immunization benefits are well known. Techniques which work to help cisgender women breast feed are effective for trans women, too. Manual tissue stimulation and dietary supplements are anecdotally and scientifically supported as means to achieve lactation in trans women, particularly after two years of estrogen therapy.

In the case of trans men who possess a uterus, carrying a baby is achievable via IVF treatment or intrauterine insemination (IUI). Even if you’ve been undergoing androgen therapy for years, studies show a reprieve from hormone therapy can make the uterus viable for pregnancy again. Trans men who have preserved eggs can have the egg fertilized by sperm from a partner, a bank, or a vetted donor. When one partner’s eggs are fertilized and transferred to a uterus, this process is known as Co-IVF. Pregnant trans men who have had top surgery only can expect any residual breast tissues to become engorged after birth.

If you did not preserve your eggs or sperm in advance of a full surgical transition, you can still become a parent with help from a donor, surrogate, and your partner, if you have one. Our program screens donors thoroughly and routinely guides parents through managing the fine print. Donated sperm or oocytes may come from a donor, a bank, or less commonly from a person known to the parent(s). Using cells from familiar donors may have emotional or legal complications later down the line, and should be considered only in scenarios with firm social and legal boundaries..

Parents of transgender children may not have considered their children’s future reproductive options. This is an important topic to explore when planning a young person’s medical transition, and we can help. Post-pubescent adolescents can preserve their sex cells in most cases, even if they have begun to take hormones. Why not help them to keep the option for children of their own someday?

Fertility services are about so much more than connecting you to a network of well-screened donors. Our clinic has built a network of in-house counselors and providers as well as professionals from other agencies to support you through the entire process. RMANY works with therapists, counselors, and legal professionals who specialize in reproductive law.

Cost should not be a prohibitive factor when you decide to start a family. However, medical costs associated with IUI or IVF treatment for transgender patients are not universally covered. Finding out how much support you can expect from your employer is an important component of your research. The HRC publishes results of surveys in the Corporate Equality Index including information about specific employers’ willingness to cover fertility treatment for trans employees. The HRC foundation has been polling employers about said coverage since 2004. The list of respondents with at least one trans-inclusive policy has grown to 511 in 2016. State-specific information is available at the HRC site as well.

It’s your right as a prospective parent to receive welcoming care from knowledgeable practitioners. Go with fertility specialists who are well-informed about your specific needs and eager to help you start a family.

Whether you’re ready to start a family now or are still weighing your options, call RMA of New York at 212-756-5777. We are here to answer your questions and offer support.

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