Family Building Options for
Birth-Designated Males

After Hormone Therapy and/or Sex-Reassignment Surgery

Baby Holding Hand 300x200If you were birth-designated male and are thinking about building a family after undergoing sex-reassignment surgery and/or hormone therapy, you should consider the routes to parenthood available via Assisted Reproductive Technology (ART).

Options available to you depend on your circumstances.

If you are partnered with a woman

Conception can be attempted through Intra-Uterine Insemination (IUI), or In Vitro Fertilisation (IVF) using frozen sperm.

If you are single, or partnered with a man

IVF with an egg donor and surrogate using frozen sperm will be necessary.


In any case, the sperm can be your own if you put some in storage before your hormone therapy and/or sex-reassignment surgery, or from a donor (either a known donor or a clinic-recruited/unknown donor).



  • People wishing to have assisted reproductive treatment in Victoria must undergo a criminal record check and child protection order check. For further information please visit our page Legislative Requirements – Victoria.
  • When contemplating fertility treatment you should be aware of the possible risks, some of which are comparable to those of elective surgery. We encourage you to discuss these with your treating specialist.
  • All treatment procedures are carried out in our RTAC (Reproductive Technology Accreditation Committee) accredited fertility clinics, where gametes (eggs/sperm) and embryos are also stored.


Before going ahead with fertility treatment, please consider each state has different legislation in regard to assisted reproductive treatment, for example:

  • In Victoria, traditional surrogacy is not permitted.
  • In South Australia, surrogacy is permitted only for the commissioning parents who are legally married or in a registered relationship; or have lived together continuously in a marriage-like relationship (irrespective of their sex, sexuality or gender identity) for a period of three years.
  • In South Australia, according to the state’s legislation, individuals/couples are now able to access Assisted Reproductive Technology services if it appears they are unlikely to achieve a pregnancy, due to personal circumstances, other than by assisted reproductive treatment.

Therefore, we encourage you to refer to your own state legislation for more information and see one of our specialists to discuss your individual circumstances and explore your options.


At Rainbow Fertility, our specialists have extensive experience in helping create LGBTI+ families. Feel free to contact our friendly team to learn more about the fertility treatment options available to you.

Call: 1300 222 623




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Rainbow Fertility has a responsibility to provide Assisted Reproductive Technology (ART) based on relevant state or federal laws and guidelines. All individuals/couples are encouraged to obtain their own legal advice regarding the relevant legislation applying to their circumstances.