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Transgender women who have had hormonal treatment and/or surgery may notice a drop in sperm count and fertility as a side effect of the process. But this scenario, when became the case, is an exception. Effective relationships between transgender women who wish to have a baby and a reproductive endocrinologist or fertility specialist are of utmost importance as they will provide them with advice and the needed support.

Gender reassignment surgery cost varies depending on the type of transition. For male to female transition, the cost ranges from $2,438 to $6,095. For female to male transition, the cost falls between $4,876 and $9,752. 
For more detailed information about the cost check this page - Gender reassignment surgery cost

The cost for transitioning procedures varies widely, but typically, upper surgeries (like chest reconstruction) can range from $7,000 to $10,000, while lower surgeries (such as phalloplasty or metoidioplasty) can range from $20,000 to $30,000. Factors influencing these costs include the surgeon’s expertise, location, and hospital fees. It’s important to consult with a plastic surgeon who specializes in gender-affirming care for personalized advice and to discuss your options thoroughly. They can guide you through the process and help ensure the best possible outcomes. 

Indeed, the physical results of FTM HRT are visible but may differ depending on an individual. It is possible also to identify some physical changes such as a deepening voice, facial and body hair growths, and redistribution of the fatty mass. It is best to consult with a gender-affirming healthcare provider who specializes in trans healthcare