Reply To: What are my chances of having biological children after transitioning?

DeeAnn Hopings

Part of the Transgender Pregnancy page in Wikipedia:
<h2><span id=”Trans_men” class=”mw-headline”>Trans men</span></h2>
Pregnancy is possible for transgender men who retain a functioning vagina, ovaries, and a uterus.<sup id=”cite_ref-1″ class=”reference”>[1]</sup><sup id=”cite_ref-Laboroflove_2-0″ class=”reference”>[2]</sup><sup id=”cite_ref-Advocate_3-0″ class=”reference”>[3]</sup> Regardless of prior hormone replacement therapy treatments, the progression of pregnancy and birthing procedures are typically the same as those of cisgender women. However, trans men who carry pregnancies are often subjected to a variety of negative social, emotional, and medical experiences, as pregnancy is regarded as an exclusively feminine or female activity. According to the study “Transgender Men Who Experienced Pregnancy After Female-to-Male Gender Transitioning” by the American College of Obstetricians and Gynecologists,<sup id=”cite_ref-4″ class=”reference”>[4]</sup> there is a lack of awareness, services, and medical assistance available to pregnant trans men. Inaccessibility to these services may lead to difficulty in finding comfortable and supportive services concerning prenatal care, as well as an increased risk for unsafe or unhealthy practices. Additionally, the study also exposed that some individuals reported having gender dysphoria and feelings of isolation due to the drastic changes in appearance which occur during pregnancy, such as enlarged breasts, and due to changes in public reception of their gender identity. Researchers also found that prior use of testosterone did not affect pregnancy.

Testosterone therapy affects fertility, but many trans men who have become pregnant were able to do so within six months of stopping testosterone.<sup id=”cite_ref-Berger_5-0″ class=”reference”>[5]</sup> Future pregnancies can be achieved by oophyte banking, but the process may increase gender dysphoria or may not be accessible due to lack of insurance coverage.<sup id=”cite_ref-Berger_5-1″ class=”reference”>[5]</sup> Testosterone therapy is not a sufficient method of contraception, and trans men may experience unintended pregnancy,<sup id=”cite_ref-Berger_5-2″ class=”reference”>[5]</sup><sup id=”cite_ref-6″ class=”reference”>[6]</sup> especially if they miss doses.<sup id=”cite_ref-Berger_5-3″ class=”reference”>[5]</sup>
<h3><span id=”Statistics” class=”mw-headline”>Statistics</span></h3>
According to figures compiled by Medicare for Australia, one of the few national surveys as of 2020, 75 male-identified people gave birth naturally or via C-section in the country in 2016, and 40 in 2017.<sup id=”cite_ref-7″ class=”reference”>[7]</sup>

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