For trans men on hormones, it is possible to reestablish ovulation, but the timing varies. Trans men also need to be aware of the psychological as well as the physiological considerations during this process. And yet, achieving pregnancy and chest feeding are becoming more common. Another option to consider is having a cis woman become pregnant using the eggs of a trans man. For trans women on hormones, the biological options are more limited, so sperm freezing before transitioning is recommended.


A longtime advocate for the LGBTQ community, Dr. Dixon is CEO and Medical Director of Anova Fertility and Reproductive Health in Toronto. She is also a founding member of the American Society of Reproductive Medicine’s LGBTQ Special Interest Group and a frequent speaker on a variety of reproductive health issues.