Proudly part of the City Fertility Network
Proudly part of the City Fertility Network
You have options.
For many trans and nonbinary people, fertility preservation is not about making every decision today. It is about protecting the possibility of choice later.
Before starting hormone therapy or undergoing gender-affirming surgery, some people choose to freeze and store their gametes or embryos for future use. This may include sperm freezing, egg freezing, or embryo freezing, depending on your body, your treatment plans, and the family you may want to build one day.
You may feel certain about parenthood. You may feel unsure. You may simply want to understand what is possible before you move forward.
All of those are valid reasons to begin the conversation.
Because becoming family does not always start with certainty. Sometimes, it starts with keeping a future door open.
Fertility preservation is the process of collecting, freezing, and storing reproductive material for possible future use.
For trans and nonbinary people, fertility preservation may be considered before treatments that can affect fertility, including hormone therapy or gender-affirming surgery.
Depending on your circumstances, this may involve:
Your specialist can help explain which options may be suitable for you.
Hormone therapy can affect fertility. The impact may vary depending on the type of hormone therapy, how long it has been used, your age, your reproductive health, and your individual circumstances.
Some people choose to preserve gametes before starting hormone therapy so they have more family-building options in the future.
This does not mean you need to become a parent. It does not mean you need to decide what your family will look like.
It simply means you have taken time to understand your choices before they may change.
Some gender-affirming surgeries may affect future fertility. If you are considering surgery and may want biological family-building options later, it can be helpful to speak with a fertility specialist before treatment begins.
Rainbow Fertility can help you understand whether gamete or embryo freezing may be appropriate before surgery.
We cannot provide specific advice about gender-affirming surgery, hormone treatment, or transition-related counselling. Your GP, endocrinologist, surgeon, or gender-affirming care team can support you with those areas.
Our role is to help you understand fertility preservation and future family-building options.
If you have already started hormone therapy, you may still have options.
The right next step depends on your individual situation. A fertility specialist can talk with you about your medical history, current treatment, and what may be possible.
You do not need to know the answers before you arrive.
That is what the conversation is for.
Frozen gametes or embryos may be used in future fertility treatment, depending on your circumstances and relevant state legislation.
Future pathways may include:
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 preservation and family-building care.
Here, your identity does not need to be explained before your care can begin.
Our science honours the whole of you.
Guided by knowledge, grounded in pride, we help you understand your options so you can make decisions with clarity and confidence.
Yes. Hormone therapy may affect fertility, although the impact varies from person to person. If having biological family-building options in the future matters to you, it is worth speaking with a fertility specialist before starting hormone therapy where possible.
Not everyone will choose fertility preservation. Some people know they want future biological family-building options. Others are unsure and want to keep possibilities open. A consultation can help you understand your options without pressure.
Yes. Rainbow Fertility supports trans and nonbinary people seeking fertility preservation before hormone therapy, gender-affirming surgery, or other treatments that may affect fertility.
Gamete freezing means collecting and freezing reproductive cells for future use. This may include sperm freezing or egg freezing. We use the word gametes where possible because it is more inclusive, while still using sperm or eggs when specific medical information is needed.
In some circumstances, yes. Embryo freezing may be an option when gametes are combined before freezing. Your specialist can explain whether gamete freezing or embryo freezing is more appropriate for your situation.
Storage timeframes and consent requirements can vary depending on state legislation and clinic policy. Your specialist and care team can explain the current requirements that apply to you.
You do not need to be certain. Fertility preservation is often about giving your future self more choices. A consultation can help you understand what is possible before making any decisions.
No. Rainbow Fertility provides fertility preservation and family-building care. For hormone therapy, surgery, or transition-related counselling, please speak with your GP or gender-affirming healthcare team.
Fertility treatment and fertility preservation involve 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 can affect treatment availability, consent requirements, storage timeframes, donor arrangements, 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 speak with a Rainbow Fertility specialist to understand the options and requirements that apply to your circumstances.
You do not need to decide everything today.
You only need a place to ask the question.
Speak with Rainbow Fertility about fertility preservation before hormone therapy or gender-affirming surgery.
