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TRANSGENDER & NB PEOPLE

Everyone’s journey to parenthood is different. If you’re trans or non-binary and thinking about your future fertility, we’re here to support you with care that fits who you are.

Trans and non-binary individuals

Fertility care that respects who you are

Navigating fertility as a transgender individual involves unique considerations. Whether you're exploring fertility preservation before transitioning or planning for parenthood post-transition, we're here to help you understand your options.

Everyone deserves the chance to build a family—regardless of gender identity or where you are in your transition. At Care Fertility, we welcome and support trans men, trans women, and non-binary people with fertility care that’s inclusive, expert-led, and shaped around your goals.

Whether you're thinking about freezing your eggs or sperm, or planning for the future, we’ll support you with honest advice, tailored treatment options, and care that puts you first.

 

Fertility preservation before transitioning

Planning ahead for future family building

If you’re thinking about starting hormone therapy or undergoing gender-affirming surgery, it’s important to know how these steps may affect your fertility. At Care Fertility, we offer fertility preservation options to help you keep the possibility of having a genetically related child in the future—whether that’s months or years down the line.

Here’s what we offer:

Egg freezing

For trans men or non-binary people with ovaries

Egg freezing involves stimulating the ovaries to produce multiple eggs, retrieving them during a short procedure, and freezing them for future use.

  • You’ll have hormone injections for 10–14 days to stimulate egg production

  • We monitor your response with ultrasound scans and blood tests

  • When the eggs are ready, they’re collected under mild sedation

  • Eggs are frozen and safely stored for use in IVF at a later stage

It’s important to note that you may need to pause testosterone during this process, as it can affect egg development. Our team will talk through what that looks like and offer support throughout.

Egg freezing gives you more choice in the future—whether you want to carry a pregnancy, use a partner or surrogate, or explore donor treatment later on.

Learn more about egg freezing

 

Sperm freezing

For trans women or non-binary people with testes

Sperm freezing involves collecting and storing semen samples for future use in fertility treatment such as IUI, IVF, or ICSI.

  • You’ll first complete routine screening tests for infections and genetic markers

  • You’ll provide several semen samples, ideally over multiple visits

  • Once collected, your sperm is frozen and stored in secure cryogenic storage

  • It can be thawed and used in fertility treatment whenever you're ready

Sperm freezing is typically done before starting hormone therapy, as oestrogen can reduce sperm production. If you’ve already started hormones, we’ll assess whether stopping temporarily could help restore fertility—we’ll support you through that decision, at your pace.

Learn more about sperm freezing

Why preserve fertility before transitioning?

You may not be thinking about having children right now—but preserving your fertility gives you more freedom in the future. It’s a deeply personal choice, and there’s no pressure to decide right away.

We’ll give you the facts, answer your questions, and help you take the next step if and when you feel ready.

Learn more about fertility preservation

Fertility treatment after transitioning

Supportive treatment options, tailored to you

If you’ve already started or completed your transition, you still have options for building a family. Whether you’ve preserved your fertility in the past or you’re now considering treatment with donor eggs, sperm, or surrogacy, we’ll help you understand what’s possible and create a plan that fits your goals and identity.

Here are some of the pathways available:

IVF with your own eggs or sperm

If you froze your eggs or sperm before transitioning, you can use them to try for a baby through in vitro fertilisation (IVF). This involves fertilising eggs with sperm in our lab, then transferring an embryo into a womb—your own, a partner’s, or a surrogate’s.

You might choose this option if:

  • You preserved your eggs or sperm before starting hormone therapy

  • You want a biological connection to your child

  • You’re using a partner’s womb or working with a surrogate

Our team will guide you through every step, from thawing your samples to embryo transfer and pregnancy testing.

Learn more about IVF

 

Treatment with donor sperm or eggs

If you haven’t preserved your fertility—or don’t wish to use your own eggs or sperm—donor treatment could be the right option. We offer access to fully screened, HFEA-registered sperm and egg donors through our dedicated donor programme.

You might consider this if:

  • Your fertility has been affected by hormones or surgery

  • You’re planning treatment with a partner who also needs a donor

  • You’ve chosen not to use your own genetic material

We’ll help you choose a donor and explain the process, timelines, and legal considerations with care and clarity.

Learn about treatment with donor gametes

Surrogacy

If carrying a pregnancy yourself isn’t possible—or isn’t the right path for you—surrogacy may be the best option. This involves creating embryos through IVF and transferring one to a surrogate who carries the pregnancy on your behalf.

We’ll take care of the clinical side, including:

  • Creating embryos using donor or partner eggs and your sperm

  • Preparing your surrogate with all necessary medical support

  • Coordinating closely with your surrogacy agency and legal team

We’ve supported many LGBTQ+ families through surrogacy and will help you move forward with a clear plan, expert care, and ongoing support throughout your journey.

Learn more about Surrogacy

 

Intrauterine insemination (IUI)

IUI is a simple and less invasive treatment for trans men or non-binary people who have a uterus and wish to carry a pregnancy. It involves placing donor sperm directly into the womb during ovulation to encourage natural fertilisation.

IUI may be a good option if:

  • You haven’t started or have paused hormone therapy

  • You’re ovulating regularly without additional medication

  • You’d prefer to try a lower-intervention route before IVF

We’ll help you understand how IUI works, track your cycle, and guide you through the full process with care and clarity from start to finish.

Learn about IUI

Frequently asked questions

We know that thinking about fertility can raise lots of questions—especially if you’re navigating treatment alongside your gender identity or transition. Whether you're exploring preservation or planning treatment, we're here to help.

Looking for more guidance? Visit our Help Centre for in-depth articles, support, and advice.

Can transgender people have biological children? Yes. Many trans men and trans women choose to preserve their fertility before transitioning by freezing eggs or sperm. Others use donor sperm or eggs, or build their families through IVF or surrogacy. There’s no one path—and we’ll help you understand what’s right for you.
What are the fertility options for trans men? If you haven’t started hormone therapy, you may be able to conceive naturally or through IUI or IVF. If you’ve already transitioned, you may use your frozen eggs or consider donor sperm and IVF. We’ll guide you through your options based on your medical history and future goals.
What is the process of egg freezing for trans men? Egg freezing involves stimulating your ovaries to collect multiple eggs, which are then frozen for future use. It usually requires pausing testosterone temporarily. The process takes around two weeks and is safe, supported, and fully explained by our team.
Can trans women freeze sperm? Yes. Sperm freezing is often done before starting oestrogen therapy, as hormones can reduce sperm production. You’ll provide several samples for storage and can use them later with a partner, donor egg, or surrogate.
Can non-binary people have fertility treatment? Absolutely. We support non-binary individuals at every stage—whether you’re preserving fertility before medical transition, planning treatment with a partner, or exploring donor options. Our care is inclusive, flexible, and built around who you are.
Is Care Fertility an inclusive clinic?

Yes. We’ve supported many LGBTQ+ patients, including trans men, trans women, and non-binary people. Our teams are trained to provide inclusive, respectful care without assumptions—just support, options, and clear next steps.

Start with a fertility check

Not sure what’s possible yet? A Full Fertility Check is a good place to start. It includes blood tests, an ultrasound or semen analysis (depending on your situation), and a consultation with one of our specialists.

Learn more and book your Full Fertility Check

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