Donor treatment & family building
Gender-affirming hormones and surgery can permanently reduce fertility, so discussion and referral should happen before treatment starts. Preservation may involve sperm banking or egg freezing, which can be distressing, and pausing hormones may be needed. Supportive, informed clinics and counselling make a substantial difference; funding varies by province.
Also known as: trans fertility, gender-affirming care fertility
Related Canada guides
Sources
- Canadian Fertility and Andrology Society (CFAS)
- Society of Obstetricians and Gynaecologists of Canada (SOGC) patient information
Last reviewed: September 9, 2026. Written by the Antega Editorial Team. General information only — always follow the advice of your own clinic, doctor or pharmacist.