Sperm testing
Sperm freezing
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Sperm testing
Sperm freezing
How it works
Ways to save
For providers
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LGBTQ+ family building
Fertility preservation in the transgender community
Trans individuals can preserve sperm or eggs before hormone therapy to enable biological parenthood options later.
Revised on
March 17, 2020
Fertility for LGBTQ+ people: Surrogacy, adoption and more
LGBTQ men face higher emotional and financial costs when building families through foster care, surrogacy, or adoption.
Revised on
March 17, 2020
Can you freeze sperm at home?
Sperm freezing enables family planning flexibility, but requires professional cryopreservation—not home freezers—to ensure viab...
Revised on
August 6, 2021
Sperm freezing: frequently asked questions, answered
Learn what male birth control options are available now, and new options you may have in the future.
Revised on
September 20, 2021
Choosing & using donor sperm for same-sex couples
LGBTQ couples using donor sperm face choices about anonymity and must navigate the sperm donation process.
Revised on
May 31, 2022
Understanding surrogacy
Learn about surrogacy types, reasons couples choose it, the process, and costs to help you decide if it's right for you.
Revised on
May 31, 2022
Planning for parenthood after gender transition
Consider fertility preservation before gender-affirming therapy to protect your future family-building options.
Revised on
August 17, 2022
What’s stopping trans women from freezing sperm?
Trans women face financial, social, and emotional barriers to sperm freezing despite 35% wanting children.
Revised on
September 9, 2022
THE SPERM REPORT: Legacy & Carrot survey reveals hormone therapy patients aren’t being informed about fertility risks
Hormone therapy access is increasing, but education on its fertility impacts lags behind—explore preservation options.
Revised on
March 10, 2023
Can transgender women produce sperm?
The science behind transgender women's fertility and sperm production, plus expert guidance on preservation options.
Revised on
August 26, 2024
Up-to-date guidelines for fertility preservation in gender-affirming care patients
Gender-affirming hormone therapy may affect fertility, so patients need early counseling on reproductive options and preservati...
Revised on
June 5, 2025
Can trans women recover fertility after gender-affirming hormone therapy? A provider’s guide to the research
Fertility recovery after stopping gender-affirming hormone therapy varies based on treatment duration and individual factors.
Revised on
November 5, 2025