TRANSGestar Program
Your identity,
your dream, and the path
to parenting.
TRANSGestar Program:
Assisted reproduction for trans men and women, non-binary trans people, and intersex people.
You already know who you are. What you might not know yet is which assisted reproduction path fits your story - whether it involves hormone therapy, gender-affirming surgery, using your own gametes, or gestational surrogacy. That's exactly what the TRANSGestar Program exists to explain, clearly and without detours.
Every body and every hormonal history calls for its own evaluation. That's why, before any procedure, we assess your reproductive health, guide you on a hormone pause when necessary, and explain fertility preservation options - with a multidisciplinary team by your side from first contact through the decision on the best path for you.
Paths designed for
your story
Aconselhamento
Plural
An orientation conversation, offered at no cost before the medical consultation, to clarify practical questions that don't require clinical evaluation - such as documentation and civil registration, the gamete bank, how each stage works, the clinic's structure, and next steps.
An orientation conversation, offered at no cost before th…
Insemination
and IVF
We define the most suitable technique for your treatment with multidisciplinary support - covering who will provide the gametes and who will carry the pregnancy - based on your individual situation and your couple's configuration.
We define the most suitable technique for your treatment…
Specialized
Psychological Support
We have psychologists specialized in supporting you at every stage, with attentive, non-judgmental listening, strengthening you emotionally throughout the treatment.
We have psychologists specialized in supporting you at ev…
Hormone
Planning
We guide a safe pause in hormone therapy to prepare the body, whether for gamete freezing, Intrauterine Insemination, or IVF, respecting each stage of your hormonal journey.
We guide a safe pause in hormone therapy to prepare the b…
Fertility
Preservation
We explain the options for freezing eggs or sperm before starting or after undergoing hormone therapy, so you have more freedom to decide when to have children, without giving up your identity.
We explain the options for freezing eggs or sperm before…
Testicular Sperm
Extraction
When ejaculation isn't a viable option, we offer sperm collection through testicular sperm extraction, a minimally invasive procedure, with specialized medical follow-up.
When ejaculation isn't a viable option, we offer sperm co…
A path planned around who you are and your family configuration.
Read before viewing
the step-by-step
The order, duration, and combination of these steps vary according to each partner's body composition, gender identity, and reproductive situation — including who will provide the gametes and who will carry the pregnancy.
The order, duration, and combination of these steps vary according to each partner's body composition, gender identity, and reproductive situation…
Aconselhamento
Plural
Before the medical consultation, an orientation conversation with our patient care team, to clarify practical questions and arrive at the consultation with more clarity about the process.
Before the medical consultation, an orientation conversation with our patient care team, to clarify practical questions and arrive at the consultat…
Medical
consultation
The physician learns about each partner's and the couple's situation, evaluates the overall clinical picture, and orders the tests needed to assess reproductive health.
The physician learns about each partner's and the couple's situation, evaluates the overall clinical picture, and orders the tests needed to assess…
Hormonal
assessment
For those undergoing hormone therapy, a multidisciplinary team - medical and psychological - evaluates with you the impact of a possible pause in therapy, weighing both reproductive capacity and quality of life. The decision is discussed with you, not imposed.
Undergoing hormone therapy doesn't automatically rule out using your own gametes or carrying a pregnancy, if you have a uterus - but that depends on individual evaluation by the specialist.
For those undergoing hormone therapy, a multidisciplinary team - medical and psychological - evaluates with you the impact of a possible pause in t…
Follow-up during the hormone pause period (when indicated)
If a pause is recommended, the period is monitored with periodic tests that assess egg or sperm production - whichever applies - and uterine viability for receiving an embryo, when relevant. The length of the pause varies depending on dosage, hormone type, and duration of use.
If a pause is recommended, the period is monitored with periodic tests that assess egg or sperm production - whichever applies - and uterine viabil…
Definition of gamete sourcing
With medical guidance, you decide who will provide the eggs and/or sperm: you, your spouse, a relative up to the 4th degree (with no shared consanguinity with whoever else provides gametes), or a specialized bank.
When sperm collection by ejaculation isn't possible, the process may include testicular sperm extraction - a minimally invasive procedure - or donation, always following CFM guidelines.
With medical guidance, you decide who will provide the eggs and/or sperm: you, your spouse, a relative up to the 4th degree (with no shared consang…
Definition of who will carry the pregnancy
You decide who will carry the pregnancy: you, your spouse, or a person who provides gestational surrogacy, within CFM's criteria.
You decide who will carry the pregnancy: you, your spouse, or a person who provides gestational surrogacy, within CFM's criteria.
When the path is Timed Intercourse
Recommended when spontaneous conception is possible, even with some infertility factor.
The person who will carry the pregnancy undergoes ovarian stimulation and ultrasound monitoring, until the team determines the most suitable time for timed intercourse.
Recommended when spontaneous conception is possible, even with some infertility factor.
The person who will carry the pregnancy un…
When the path is Intrauterine Insemination (IIU)
After medication, usually oral, the cycle is monitored by ultrasound to identify the most fertile day and schedule the introduction of sperm into the uterus of the person who will carry the pregnancy.
After medication, usually oral, the cycle is monitored by ultrasound to identify the most fertile day and schedule the introduction of sperm into t…
When the path is In Vitro Fertilization (FIV)
After ovarian stimulation, the eggs are collected via puncture in the surgical center, under anesthesia.
In the lab, they're fertilized and the embryos are monitored for up to 5 days, until they reach the blastocyst stage.
Meanwhile, we prepare the uterus of the person who will carry the pregnancy for the transfer.
After ovarian stimulation, the eggs are collected via puncture in the surgical center, under anesthesia.
In the lab, they're ferti…
Embryo transfer and post-transfer
The embryo transfer also takes place in the surgical center, but doesn't require sedation, except in specific cases. Afterward, we guide you on care and schedule the Beta HCG test.
The embryo transfer also takes place in the surgical center, but doesn't require sedation, except in specific cases. Afterward, we guide you on car…
Beta HCG Test
Performed 10 to 12 days after the transfer or insemination, to assess the outcome of the cycle.
Performed 10 to 12 days after the transfer or insemination, to assess the outcome of the cycle.
First follow-ups
Once pregnancy is confirmed, the scheduling team arranges the first ultrasound after 1 month - this is also when we recommend choosing a physician for prenatal care.
Next, the morphological ultrasound is scheduled. From there, care becomes shared with the team that will follow the pregnancy through prenatal care with the professional you've chosen.
Once pregnancy is confirmed, the scheduling team arranges the first ultrasound after 1 month - this is also when we recommend choosing a physician…
Frequently asked questions
Aconselhamento Plural is a conversation with Jéssica Perez or Queila Raimundo, from our patient care team, to clarify practical questions about treatment before the medical consultation. It's recommended, but not required.
It can be done in person at the Santo André unit or remotely, for those who prefer that or are at another unit.
If you'd like to schedule this before your consultation, just let the unit know when you get in touch.
Santo André Unit - SP
Av. Príncipe de Gales, 821, Vila Príncipe de Gales - CEP 09060-650
Av. Lauro Gomes, 2000, Vila Sacadura Cabral - CEP 09060-870
Phone: (11) 4433-2830
WhatsApp: (11) 93234-1848
Email: agendesuaconsulta@ideiafertil.com.br
Hours: Monday to Friday, 7 AM to 6 PM; Saturdays, Sundays, and holidays, 7 AM to 1 PM.
You can schedule by phone, WhatsApp, or email, using the contact details of your preferred unit. No prior tests are needed to book the first consultation.
During that appointment, the medical team reviews your history, understands your goals, and advises which tests may be recommended for your case.
Consultation prices may vary by unit, specialty, and type of appointment — for up-to-date information, please contact your preferred unit directly.
Santo André Unit — SP
Av. Príncipe de Gales, 821, Vila Príncipe de Gales — CEP 09060-650
Av. Lauro Gomes, 2000, Vila Sacadura Cabral — CEP 09060-870
Phone: (11) 4433-2830
WhatsApp: (11) 93234-1848
Email: agendesuaconsulta@ideiafertil.com.br
Hours: Monday to Friday, 7 AM to 6 PM; Saturdays, Sundays, and holidays, 7 AM to 1 PM.
Moema Unit — São Paulo, SP
Rua Araguari, 652, Moema — CEP 04514-041
Phone: (11) 3192-0901
WhatsApp: (11) 93234-1791
Email: agendesuaconsultamoema@ideiafertil.com.br
Hours: Monday to Thursday, 8 AM to 6 PM; Friday, 8 AM to 5 PM; Saturdays, Sundays, and holidays, 8 AM to 12 PM.
Guarulhos Unit — SP
Downtown Corporate Center
Rua Otávio Forghiere, 204, Room 74, Jardim Gumercindo — CEP 07090-070
Phone: (11) 4433-2830
Email: atendimento@ideiafertil.com.br
Hours: Mon–Fri, 8 AM to 5 PM; Saturday, 8 AM to 2 PM.
It serves trans, non-binary, and genderqueer people, as well as intersex people, when their situation involves hormone therapy and/or gender-affirming surgery that impacts the assisted reproduction journey.
Yes. Schedule Aconselhamento Plural and find out which program is right for you.
This is a decision that depends on your hormone therapy history and the reproductive treatment you're pursuing - there's no single answer that fits every situation. In some cases, a temporary pause may be needed; in others, it won't be.
This assessment is made together with a medical team experienced in hormone therapy and assisted reproduction, and no decision to stop or continue hormones should be made without that guidance.
If you're currently undergoing hormone therapy and considering fertility preservation or starting a reproductive treatment, the first step is to talk with our team before making any changes to your medication.
The length of the pause varies according to the dosage, the type of hormone used, and how long you've been undergoing hormone therapy. This period is monitored with tests that assess egg or sperm production, and the decision to move on to the next step is made together with our medical team.
Yes. You'll have support from our specialized psychology team throughout this assessment, to help you navigate the emotional and identity-related impacts of the decision about the hormone pause.
Taking hormones doesn't, by itself, prevent the use of your own gametes - but this depends on your hormone therapy history and needs to be evaluated by a specialist before any decision is made.
It depends mainly on which structures were removed or preserved during the surgery - for example, whether the ovaries or testicles were removed, which directly changes the available options. In some cases, using your own gametes is still possible; in others, it isn't.
The next step is a consultation where we review your surgical history and the reproductive options it allows for.
Your gametes can come from a specialized bank or from donation - anonymous or from a relative up to the 4th degree, with no shared consanguinity with whoever provides the other gamete.
When ejaculation isn't possible, sperm can also be obtained through testicular sperm extraction (TESE).
Timed Intercourse is recommended when spontaneous conception is possible despite some infertility factor, and involves monitoring the cycle to identify the most fertile time.
Intrauterine Insemination places the sperm directly into the uterus of the person who will carry the pregnancy, on the most fertile day identified by ultrasound.
In Vitro Fertilization, in turn, is recommended for more complex cases: the eggs are collected via puncture, fertilized in the lab, and the embryo is transferred into the uterus of the person who will carry the pregnancy.
The recommendation takes into account hormonal history, reproductive capacity, and, when applicable, the infertility factor involved. Based on that evaluation, we work together with you to determine which method makes the most sense for your reproductive goal.
Schedule Your Consultation
Take the next step with clarity about the possibilities available to you.
Agende sua consulta
