Proudly part of the City Fertility Network

The path to family does not look the same for everyone.
For some trans and nonbinary people, family-building begins after hormone therapy. For others, it begins after gender-affirming surgery. Some people may have preserved gametes before transition, while others are only now beginning to explore what might be possible.
Wherever you are in your journey, it is important to know this:
Family-building options may still be available after hormone therapy or gender-affirming treatment, depending on your circumstances, medical history, and reproductive goals.
The first step is understanding what options are available to you.
The most appropriate pathway depends on your individual circumstances.
Options may include:
Every pathway is different.
Some people arrive with a clear plan. Others arrive with questions. Both are welcome.
Our specialists can help you understand which options may be available and what steps may be involved.
Hormone therapy can affect fertility, but the impact varies from person to person.
Factors that may influence future fertility include:
Some people may retain reproductive potential after hormone therapy. Others may require donor conception or alternative family-building pathways.
Because every situation is unique, it is important to speak with a fertility specialist about your personal circumstances.
Many people are surprised to learn that family-building may still be possible after gender-affirming surgery.
The options available depend on factors including:
Family-building after surgery often looks different from person to person.
The most important thing is understanding the options available to you now.

Many people arrive believing they have missed their chance.
Perhaps fertility preservation was not discussed before transition.
Perhaps family felt like something for another chapter of life.
Perhaps your plans have simply changed.
Whatever brought you here, know this:
Family has never been defined by a single path.
Rainbow Fertility supports trans and nonbinary people exploring family-building options through donor conception, IVF, surrogacy, partner IVF, and other reproductive pathways.
There is no single way to become family.
There is only the path that belongs to you.
Rainbow Fertility was created for LGBTQ+ people and families.
Our specialists have extensive experience supporting trans, nonbinary, queer, and same-sex attracted people through fertility treatment and family-building care.
Here, you do not need to explain your identity before your care can begin.
Guided by knowledge, grounded in pride, we help people understand their options with clarity, respect, and evidence-based care.
Possibly. Hormone therapy can affect fertility, but the impact varies. Your fertility specialist can discuss how your treatment history may influence your current options.
Family-building may still be possible after gender-affirming surgery, depending on your circumstances. Options may include previously frozen gametes or embryos, donor conception, IVF, surrogacy, and other pathways.
Not preserving fertility before transition does not necessarily mean family-building is no longer possible. Many people build families using donor conception, IVF, surrogacy, or other reproductive pathways.
Yes. Rainbow Fertility supports trans and nonbinary people exploring fertility treatment, fertility preservation, and family-building options.
For many people, donor sperm, donor eggs, or donor embryos can play an important role in family-building. Your specialist can discuss which options may be available.
Depending on your circumstances, options may include IVF, donor conception, surrogacy, partner IVF, solo parenthood, or treatment using previously frozen gametes or embryos.
That is completely normal. Many people begin with questions rather than plans. A consultation can help you understand what options may be available before making any decisions.
Fertility treatment involves medical procedures and may carry risks. Your specialist will discuss the risks, benefits, limitations, and likely outcomes based on your personal circumstances.
Assisted reproductive treatment legislation differs between Australian states and territories. This may affect treatment eligibility, donor arrangements, storage requirements, and surrogacy pathways.
All treatment procedures are carried out through City Fertility’s RTAC-accredited fertility clinics, where gametes and embryos are also stored.
We encourage you to discuss your individual circumstances with one of our specialists to understand the options available to you.
You do not need to have everything figured out.
You only need a place to ask the question.
Speak with Rainbow Fertility about your family-building options after hormone therapy or gender-affirming surgery.