Hormone Replacement Therapy
HRT is a key to fulfilling your greatest dream, but can also impact your fertility. Sppare.me is here to help you channel all energies to a successful transition, with no unnecessary worries about your future as a parent.
Sex Transition and Parenthood
About 1,400,000 (0.6%) adults in the US identify themselves as having a different gender identity or gender expression. Male to female (MTF) transitioning is a long process in which the gender presentation is changed to fit the internal gender identity and gender expression. HRT and sex reassignment surgery allows you to fulfill your dream and become the person you are. However, one of the side effects of these miraculous procedures is short or long term fertility impairment, which could negatively impact your other dream, parenthood.
The World Professional Association for Transgender Health recommends transgenders and transsexuals to make decisions concerning fertility prior to undergoing any reproductive organ removal or altering procedure such as male to female hormone therapy transitioning, or undergoing surgery to remove/alter reproductive organs.
Sppare.me offers a comfortable, friendly and cost-efficient platform so that anyone opting for MTF HRT or sex reassignment surgery can easily and safely store their sperm and secure their ability to have children down the road.
The relationship between HRT and fertility
Male-to-Female Hormone Replacement Therapy is a process where hormones are released into the bloodstream to alter secondary gender characteristics. By increasing estrogen levels while lowering testosterone levels, visible changes such as breast development, body fat distribution and the minimizations of facial skin pores occur in the body.
These hormones also affect other physical functions such as erections and semen count. Changes in the frequency of erections, as well as significant seminal decrease are also noticeable. Due to this decline, there is a possibility of short-term (transient) and long-term (persistent) infertility.
Furthermore, research suggests that prolonged estrogen exposure of the testicles has been associated with testicular damage. Unfortunately, research on restoration of sperm production following extended estrogen treatment is limited and therefore long-term effects are not certain. Even if your sperm production is successfully restored, there is no guarantee the sperm itself will be the same.
What are my options?
Since the majority of transitioning transgenders are, at the time of transition, at an age of reproductive abilities, many will want children in the future and should consider these fertility risks. Nowadays, there are several options available, such as sperm cryopreservation, surgical sperm extraction, and testicular tissue cryopreservation. Without a doubt, sperm cryopreservation – the freezing and banking of sperm, is the easiest, safest and most affordable way to guarantee your parenthood before beginning HRT or sex reassignment surgery.
Using Sppare.me’s signature at-home sperm collection kit and unique overnight delivery process, you can now avoid the hassle of finding a trustable sperm bank, attending an appointment and paying a huge fee. You will surely enjoy our user-friendly process instead of the frustrating experience of waiting in line with a bunch of strangers on your way to collect your sperm in an uncomfortable environment.
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Fertility options in transgender people, 2015
International Review of Psychiatry
Standards of care for the health of transsexual, transgender, and gender nonconforming people, 7th edition.
World Professional Association for Transgender Health (WPATH), Link
Reveal and Riot [dot] com, Article
Craig J. Forsyth, Heith Copes (2014). Encyclopedia of Social Deviance.
The New York Times [dot] com, Article
How many adults identify as transgenders in the united state. The Williams Institute, 2016. Link
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