Talking about fertility is difficult for many people. When you’re non-binary or trans, it can feel even more complicated. The words used in the room often seem to belong to someone else. Forms have only two boxes. The language of “women’s bodies” and “men’s roles” misses something essential — fertility isn’t an identity, it’s a biological capacity that belongs to every unique body.

If you’re planning for the future — whether you want children, want to freeze eggs or sperm, or simply don’t know yet — you have the right to clear information without having to justify who you are. Yet many describe being met with confusion or even suspicion. That’s not your burden to fix. Healthcare’s job is to meet you where you are, not fit you into a template.

Start by defining what you want to know: Is it about fertility before hormone therapy? The option to store reproductive cells? The risks, rights, or possibilities? Knowing your focus helps you steer the conversation.

And if something feels off — say it. You can switch providers. You can bring someone with you. You deserve to be treated as your whole self.

Alma’s tips:

• Write down your questions beforehand — nerves can make them slip away.

• Remember: fertility isn’t a moral obligation. You get to choose what your future looks like.

• If the talk feels heavy, rest in this truth: your body isn’t a problem to solve, but a part of you to understand.

Talking about fertility as a non-binary or trans person isn’t just medical. It’s existential. It’s about being seen as a person first — a body second.