I also know that with her Asperger ' s she has obsessionsSomething to think about is that , for a reason we have yet to discover , people with ASD have a higher chance of being transgender than the general population . I think at 16 it ' s easy to say you don ' t want biological children but at 26 or more it could be a different situation . Have you considered paying for sperm banking ? There ' s an initial cost then some yearly upkeep . Unfortunately I can ' t give you exact numbers . I also dont know how expensive HRT is , but as a single parent I am on a budget . In general HRT is very cheap an average dose of MTF HRT is around $ 20 USD a month . The main exception are puberty blockers which are very expensive and in the range of $ 1000 . I ' m not sure if 16 is too late for this option but I ' m willing to try it for her sake if it is . Puberty blockers stop all hormone production which can have negative consequences when taken on a long term basis . Puberty blockers are usually stopped around 16 if the minor has been on them since adolescence . Going on blockers at 16 for two years shouldn ' t pose any major problems , but of course I ' m a mad scientist and not a doctor . I ' ve also heard , not sure if it ' s true or not , that HRT could possibly magnify her anxietydepression and I worry about it as she has suicidal thoughts at times . MTF HRT can cause mood swings in some people , particularly at the beginning . At the same time having the right hormones can often lead to improved mood in general .