LGBTQIA+ Fertility Preservation

There are plenty of reasons you may not want to start a family right now. Whether you would like to preserve your fertility before hormone treatment and other life changing procedures, or now just simply isn’t the right time, RMA of New York’s reproductive physicians and specialists have worked with countless LGBTQIA+ individuals and couples to preserve fertility until they are ready to build their biological family.

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Our Services

  • Egg Freezing

    Egg Freezing

    Preserving your eggs now allows you to take control of your options later.

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  • Embryo Freezing

    Embryo Freezing

    Eggs are combined with sperm in the laboratory to create embryos, which are then cryopreserved for future use.

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  • Sperm Banking

    Sperm Banking

    Sperm can be frozen and stored at RMA of New York.

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  • Oncofertility

    Oncofertility

    Oncofertility is an option for patients to preserve eggs, sperm, and/or embryos prior to cancer treatment (chemotherapy and radiation), which can negatively impact fertility.

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Fertility Preservation For Trans Men

Fertility preservation for trans individuals with eggs who plan to undergo gender affirmation surgery or hormone replacement therapy.

Trans folks with eggs may preserve their fertility by freezing their eggs prior to initiating gender affirming hormone therapy with testosterone or bottom surgery to remove their ovaries and/or uterus. By preserving your fertility prior to gender affirming treatments which can impact it, you can grow your family at a later date. Egg freezing requires multiple vaginal ultrasounds and hormone injections to raise their estrogen levels. These estrogen-based hormone injections will generally not cause an increase in chest tissue, nor will they impact vocal tone or beard growth (if testosterone has been taken prior to the process). After doing an egg retrieval, you will experience a heavy menstrual cycle.

If you have previously initiated gender affirming hormone treatment with testosterone it may still be possible to freeze eggs. While there is data on how high levels of testosterone can impact egg health, it is still very limited. At RMA of New York, in order to have the best chance to achieve your fertility preservation goals, we recommend that trans and gender diverse individuals who have started gender affirming hormone therapy with testosterone, stop for at least 6 months prior to fertility treatment.

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Fertility Preservation For Trans Women

Fertility preservation for trans individuals with sperm who plan to undergo gender affirming hormone therapy or surgery.

Trans folks with sperm may preserve their fertility by freezing their sperm prior to undergoing gender affirming hormone therapy with estrogen and anti-androgens or bottom surgery to remove their testicles. By preserving your fertility prior to gender affirming treatments which can impact it, you can grow your family at a later date. Sperm freezing requires producing a sperm specimen for analysis and producing further sperm specimens for freezing. No hormonal medications are generally needed in this process.

If you have previously initiated gender affirming hormone treatment with estrogens and/or anti-androgen it may still be possible to freeze sperm. Research indicates high levels of estrogen can have an impact on the quality of sperm health. At RMA of New York, we recommend that trans and gender diverse individuals stop gender affirming hormone therapy with estrogen and anti-androgens treatment for between 3 and 6 months prior to sperm freezing.

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RMA of New York Team

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Meet the Team

Why RMA of New York: Fertility Testing

RMA of New York is run by doctors. Compassionate, industry leaders, practicing medical excellence, prioritizing patient-centric, individualized care, and developing techniques that have driven innovation in the field, since the early stages of reproductive medicine. For the past 20 years, RMA of New York has successfully facilitated the births of thousands of healthy babies for patients across the New York area.

As the Division of Reproductive Endocrinology and Infertility of the Icahn School of Medicine at Mount Sinai, our team is dedicated to scientific discovery, medical excellence, and compassionate, patient-focused care. We are proud to be a member of the Department of Obstetrics, Gynecology, and Reproductive Science at the Mount Sinai Health System.

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Get Started

It’s never too early to learn about your fertility and reproductive options.

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Have questions? We can help.

Patient-centric reproductive medicine is our specialty, and we look forward to answering any questions you may have.

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