Are you starting hormone treatment and/or genital surgery? Then it is important to first consider any future wish to have children of your own and to preserve your fertility.
Options for preserving your fertility
- Temporarily retaining your genitalia;
- freezing egg cells (= oocyte cryopreservation) or embryos;
- freezing of ovarian tissue (= ovarian tissue cryopreservation).
Option 1: temporarily retaining the genitalia
Preservation of the ovaries
Preservation of the vagina
Option 2: freezing egg cells (= oocyte cryopreservation) or embryos
- Before starting testosterone treatment;
- At a later stage — for example, when you are actually ready to use the egg cells;
- Before the operation to have your ovaries removed.
Possible physical disadvantages/side effects
- The treatment may cause feelings of dysphoria.
- The injections may cause side effects, most commonly headaches and fatigue. The hormonal fluctuations may also cause psychological complaints.
- The hormones and growth of the ovaries may cause you to feel bloated or give abdominal pain.
- Injecting yourself with the hormones can be painful.
- Despite having pain relief, follicular puncture can be unpleasant.
Option 3: Freezing of ovarian tissue (= ovarian tissue cryopreservation)
Procedure for removing ovaries and freezing tissue
Fertility preservation decision tool
Accessibility to egg cells
Sperm cell donation
Fulfilling the desire to have children
This text was edited on 1-8-2022
We recommend that you go through all the information step by step to get a complete picture of the different treatment options and the process around them!
Back to overview
Preparing for the genital operation
To be eligible for genital surgery, you must be well informed and meet a number of criteria. A summary of the various genital surgeries for masculinisation are described below, followed by the related criteria.