Transgender Pregnancy: Moving Past Misconceptions

For the health and well-being of transgender parents-to-be and their families, it’s important to understand where we’ve been — and where we need to go.

Pregnancy and birth have widely been considered something that women do. But in reality, people of all genders get pregnant and give birth to babies around the world.
Medicine is on the cusp of possibility for a transgender woman to bear a child with a transplanted uterus.
There have already been recent cases of cisgender women (women who were assigned women at birth and are not transgender) giving birth with a transplanted uterus, from living and deceased donors.
But for now, most transgender people giving birth are those born with a uterus — transgender men, nonbinary people, gender fluid people, gender queer people, Two-Spirit people, and others with uteruses who don’t identify as women.

Misinformation abounds, but trans pregnancy is possible

Many transgender men are incorrectly told by health professionals that taking testosterone will make them “sterile” and potentially unable to conceive. This can result in unplanned pregnancies or a lack of awareness that desired pregnancy is possible.
Actually, the first study that looked at female-to-male transgender people receiving in vitro fertilization was published in October 2019 and found that egg quality and quantity were similar between transgender men and cisgender women.
While taking testosterone, ovulation may stop (usually within 6 to 12 monthsTrusted Source), but egg reserves don’t disappear.
If a transgender man stops taking his testosterone, his menstrual cycle often returns, reportedly within about 6 months. While there have been no long-term studies, nothing so far has shown cause for concern.
Reproductive endocrinologist Dr. Sara Pittenger Reid told the New York Times that with the “limited amount of data we have” it seems that taking testosterone before pregnancy doesn’t have any effect on the baby’s health.
Trystan Reese transitioned in his early 20s and the endocrinologist managing his testosterone therapy informed him that he would become infertile and never be able to carry a child — that the testosterone would render his uterus “uninhabitable.”
In his 30s, Reese carried and birthed a healthy baby in 2017.
“I am not a fluke,” Reese wrote for Family Equality, an organization dedicated to LGBTQ+ families. “Hundreds and maybe thousands of transgender men all over the world have successfully given birth or otherwise contributed their eggs to a pregnancy.”
The exact number of transgender people to carry pregnancies is unknown, but a 2019 news release from Rutger’s University said their new research suggests up to 30 percent of transgender men have had unplanned pregnancies.
But physical health isn’t the main barrier facing pregnant transgender men and nonbinary people. Social stigma is.


By: Miss Cherry May Timbol – Independent Reporter

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