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Can trans women recover fertility after gender-affirming hormone therapy?

Trans and gender non-conforming (TGNC) people with sperm may be interested in having kids later in life.
Revised on
March 6, 2026
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Legacy provides clinical-quality semen analysis and cryopreservation services through CLIA-certified laboratories. A semen analysis is an important step toward understanding your reproductive health and fertility potential. Legacy facilitates access to qualified medical providers to ensure continuity of your care. Sperm cryopreservation can help preserve your ability to pursue assisted reproductive techniques in the future; however, storage does not guarantee future reproductive success. Legacy’s services are currently only available to clients within the United States.
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