Can a Transgender Man Have a Baby Can a Transgender Man Get Someone Pregnant

Evolution of offspring by trans people

Transgender pregnancy is the gestation of one or more than embryos or fetuses by transgender people. Currently, the possibility is largely dependent on the individual's natal reproductive organs, with transition-related treatments impacting fertility. Transgender people who are or wish to become significant confront medical, legal, and psychological concerns.

Trans men

Pregnant trans man Fernando Machado and his transgender wife, Diane Rodríguez.

Pregnancy is possible for transgender men who retain functioning ovaries and a uterus, such as in the case of Thomas Beatie.[1] Regardless of prior hormone replacement therapy treatments, the progression of pregnancy and birthing procedures are typically the same equally those of cisgender women.[ii] Information technology has been shown that historical HRT use may not negatively bear upon ovarian stimulation outcomes, with no pregnant differences in the markers of follicular function or oocyte maturity between transgender men with and without a history of testosterone apply.[3] Nevertheless, some trans men who acquit pregnancies subjected to discrimination, which can include a multifariousness 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 Later on Female-to-Male person Gender Transitioning" past the American College of Obstetricians and Gynecologists,[4] in that location is a lack of awareness, services, and medical assistance available to meaning trans men. Inaccessibility to these services may lead to difficulty in finding comfortable and supportive services concerning prenatal intendance, as well as an increased hazard for dangerous or unhealthy practices. Additionally, the written report likewise 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 establish that prior use of testosterone did not affect pregnancy.

Testosterone therapy affects fertility, but many trans men who take go pregnant were able to do so within half-dozen months of stopping testosterone.[v] Testosterone has been shown to be an ineffective form of contraception.[2] [6] Exposing a fetus to high levels of exogenous testosterone is teratogenic. This is particularly impactful in the first trimester of evolution when many pregnancies haven't been discovered yet.[7] Additionally, patients experiencing amenorrhea (a mutual side effect of exogenous testosterone exposure) may experience boosted challenges in identifying early pregnancies due to the lack of regular menstrual cycling that could indicate a pregnancy if missed, for example.[7] For this reason, information technology is of import for patients and healthcare practitioners to comprehensively hash out fertility goals, family planning and contraceptive options during gender-affirming care.[7] Previous studies of pregnancies in women suggest that loftier levels of endogenous androgens are associated with reduced birth weight, although it is unclear how prior testosterone in a childbearing trans person may affect birth weight.[two] Future pregnancies can be achieved past oophyte banking, merely the process may increase gender dysphoria or may not be accessible due to lack of insurance coverage.[5] Testosterone therapy is not a sufficient method of contraception, and trans men may experience unintended pregnancy,[5] [viii] particularly if they miss doses.[v] Unintended pregnancies can result in transgender men or nonbinary people considering or attempting self-induced abortion.[9] Delivery options include conventional methods such every bit vaginal commitment and cesarean section, and patient preference should be taken into consideration in order to reduce gender dysphoric feelings associated with certain concrete changes and sensations.[ii] According to the National Transgender Discrimination Survey, postpartum rates of suicide and depression in trans individuals has been found to be higher than the adult average.[10] This may be attributed to factors such as lack of social back up, discrimination, and lack of adequate healthcare practitioner preparation.[10] Another important postpartum consideration for trans men is whether to resume testosterone therapy. There is currently no evidence that testosterone enters breast milk in a meaning quantity.[xi] However, elevated testosterone levels may suppress lactation and healthcare guidelines have previously recommended that trans men do not undergo testosterone therapy while chest feeding.[12] Trans men who undergo chest reconstruction surgery may maintain the ability to breast feed.[13]

Amid the wide assortment of transgender-related therapies bachelor, including surgical and medical interventions, some offering the option of preserving fertility while others may compromise 1'south ability to become pregnant (including bilateral salpingo-oophorectomy and/or full hysterectomy).

Special consideration of the mental health of transgender people during pregnancy is important. It has previously been shown that transgender individuals frequently experience college rates of suicidality then cisgender people and lesser degrees of social support from their surround and familial relationships.[14] [ten] Relatedly, many transgender individuals experiencing pregnancy reported that choices of healthcare providers were substantially impacted by the views of the healthcare worker, and many transgender people prefer midwifery services rather than experience labor and delivery in a hospital.

Statistics

According to figures compiled past Medicare for Australia, one of the few national surveys as of 2020, 75 male-identified people gave birth naturally or via C-department in the country in 2016, and forty in 2017.[fifteen]

Not-binary people

Not-binary people with a performance vagina, ovaries and uterus can give nascency.[xvi] Not-binary people who are assigned female person at birth are more than likely than binary trans people to carry out pregnancy via gestation since they are less likely to seek medical gender-affirming medical procedures that interfere with their fertility.[17] [eighteen]

Not all not-binary people (or trans people of whatsoever gender identity) medically transition through hormone replacement therapy (HRT) or whatever kind of surgeries due to various factors ranging from medical weather condition, accessibility and/or expenses, merely those that do have to interrupt their HRT in order to deport the pregnancy.[ commendation needed ] Unintended pregnancies by not-binary people on testosterone therapy may be more mutual if they are on a low dose of testosterone.[v] Not-binary parents cull whether to exist called "mom" or "dad", or to utilize newly-coined gender-neutral or non-binary titles.[nineteen]

Non-binary people who have written or been profiled about their experiences of pregnancy include Rory Mickelson,[20] Braiden Schirtzinger,[21] and Mariah MacCarthy.[22]

Trans women

Transgender women do non have the anatomy needed for embryonic and fetal evolution. As of 2019, uterus transplantation has non been performed in transgender women.[23]

Uterine transplantation, or UTx, is in its infancy and is non nevertheless publicly available. Equally of 2019, in cisgender women, more than 42 UTx procedures had been performed, with 12 alive births resulting from the transplanted uteruses as of publication.[24] The International Society of Uterine Transplantation (ISUTx) was established internationally in 2016, with 70 clinical doctors and scientists, and currently has 140 intercontinental delegates.[25] Its goal is to, "through scientific innovations, advance medical care in the field of uterus transplantation."[26]

In 2012, McGill University published the "Montreal Criteria for the Ethical Feasibility of Uterine Transplantation", a proposed set of criteria for carrying out uterine transplants, in Transplant International.[27] Under these criteria, merely a cisgender woman could ethically be considered a transplant recipient. The exclusion of trans women from candidacy may lack justification.[28]

Society and culture

Unicode introduced "pregnant man" and "pregnant person" emojis in version 14.0 of 2016.[29]

See besides

  • Transgender rights
  • LGBT parenting
  • LGBT reproduction
  • Male person pregnancy

References

  1. ^ Beatie, Thomas (April 8, 2008). "Labor of Dearest: Is society ready for this pregnant hubby?". The Abet. p. 24.
  2. ^ a b c d Obedin-Maliver, Juno; Makadon, Harvey J (2016). "Transgender men and pregnancy". Obstetric Medicine. ix (1): iv–8. doi:10.1177/1753495X15612658. PMC4790470. PMID 27030799.
  3. ^
  4. ^ Lite, Alexis D.; Obedin-Maliver, Juno; Sevelius, Jae M.; Kerns, Jennifer Fifty. (1 Dec 2014). "Transgender men who experienced pregnancy after female-to-male gender transitioning" (PDF). Obstet Gynecol. 124 (6): 1120–1127. doi:10.1097/AOG.0000000000000540. PMID 25415163. S2CID 36023275.
  5. ^ a b c d eastward Berger, Anthony P.; Potter, Elizabeth 1000.; Shutters, Christina 1000.; Imborek, Katherine L. (2015). "Pregnant transmen and barriers to loftier quality healthcare". Proceedings in Obstetrics and Gynecology. five (two): 1–12. doi:x.17077/2154-4751.1285.
  6. ^ Bonnington, Adam; Dianat, Shokoufeh; Kerns, Jennifer; Hastings, Jen; Hawkins, Mitzi; Haan, Gene De; Obedin-Maliver, Juno (2020-08-01). "Lodge of Family unit Planning clinical recommendations: Contraceptive counseling for transgender and gender various people who were female person sex assigned at birth". Contraception. 102 (2): 70–82. doi:ten.1016/j.contraception.2020.04.001. ISSN 0010-7824. PMID 32304766. S2CID 215819218.
  7. ^ a b c Krempasky, Chance; Harris, Miles; Abern, Lauren; Grimstad, Frances (2020-02-01). "Contraception beyond the transmasculine spectrum". American Journal of Obstetrics and Gynecology. 222 (2): 134–143. doi:10.1016/j.ajog.2019.07.043. ISSN 0002-9378. PMID 31394072. S2CID 199504002.
  8. ^ Lite, Alexis; Wang, Lin-Fan; Zeymo, Alexander; Gomez-Lobo, Veronica (2018). "Family planning and contraception use in transgender men". Contraception. 98 (4): 266–269. doi:x.1016/j.contraception.2018.06.006. PMID 29944875. S2CID 49434157.
  9. ^ Moseson, Heidi; Fix, Laura; Gerdts, Caitlin; Ragosta, Sachiko; Hastings, Jen; Stoeffler, Ari; Goldberg, Eli A.; Lunn, Mitchell R.; Flentje, Annesa; Capriotti, Matthew R.; Lubensky, Micah Due east.; Obedin-Maliver, Juno (March xiv, 2021). "Abortion attempts without clinical supervision amid transgender, nonbinary and gender-expansive people in the United States" (PDF). BMJ Sexual & Reproductive Wellness. 48 (e1): 22–30. doi:10.1136/bmjsrh-2020-200966. PMC8685648. PMID 33674348. Retrieved 26 December 2021.
  10. ^ a b c "Injustice at Every Turn: A Report of the National Transgender Discrimination Survey" (PDF). {{cite web}}: CS1 maint: url-condition (link)
  11. ^ Glaser, Rebecca L.; Newman, Mark; Parsons, Melanie; Zava, David; Glaser-Garbrick, Daniel (July 2009). "Safety of maternal testosterone therapy during breast feeding". International Journal of Pharmaceutical Compounding. thirteen (iv): 314–317. ISSN 1092-4221. PMID 23966521.
  12. ^ Gorton, Nick; Buth, Jamie; Spade, Dean. Medical therapy and health maintenance for transgender men: a guide for health care providers. ISBN0977325008.
  13. ^ "Tips for Transgender Breastfeeders and Their Lactation Educators". Retrieved 2021-09-20 .
  14. ^ Obedin-Maliver, Juno; Makadon, Harvey J (March 2016). "Transgender men and pregnancy". Obstetric Medicine. 9 (ane): four–8. doi:x.1177/1753495X15612658. ISSN 1753-495X. PMC4790470. PMID 27030799.
  15. ^ Hattenstone, Simon (April 20, 2019). "The dad who gave nascency: 'Existence pregnant doesn't change me existence a trans man'". The Guardian – via www.theguardian.com.
  16. ^ Toze, Michael (2018). "The risky womb and the unthinkability of the pregnant man: Addressing trans masculine hysterectomy" (PDF). Feminism & Psychology. 28 (2): 194–211. doi:x.1177/0959353517747007. S2CID 149082977.
  17. ^ Fischer, Olivia J. (2021-04-03). "Non-binary reproduction: Stories of conception, pregnancy, and birth". International Periodical of Transgender Health. 22 (1–2): 77–88. doi:10.1080/26895269.2020.1838392. ISSN 2689-5269. PMC 8040674. PMID 34755150.
  18. ^ James, Sandy; Herman, Jody; Rankin, Susan; Keisling, Mara; Mottet, Lisa; Anafi, Ma'ayan (2016). "The Study of the 2015 U.Southward. Transgender Survey".
  19. ^ Rex-Miller, Lindsay (March 13, 2020). "Non All Parents Are "Mom" Or "Dad"". Ravishly. Retrieved June 4, 2020.
  20. ^ "I'thou Pregnant, But I'm Not a Woman". world wide web.advocate.com. 2018-xi-13. Retrieved 2020-03-10 .
  21. ^ "Non-binary, significant and navigating the most gendered role of all: Motherhood". Washington Post . Retrieved 2020-03-10 .
  22. ^ "I'k Nonbinary. I Loved Being Pregnant. It's Complicated". Narratively. 2018-09-03. Retrieved 2020-03-x .
  23. ^ Cheng, Philip J.; Pastuszak, Alexander W.; Myers, Jeremy B.; Goodwin, Isak A.; Hotaling, James M. (June 2019). "Fertility concerns of the transgender patient". Translational Andrology and Urology. 8 (3): 209–218. doi:10.21037/tau.2019.05.09. ISSN 2223-4691. PMC6626312. PMID 31380227.
  24. ^ Jones, B. P.; Williams, N. J.; Saso, S.; Thum, M.-Y.; Quiroga, I.; Yazbek, J.; Wilkinson, S.; Ghaem‐Maghami, S.; Thomas, P.; Smith, J. R. (2019). "Uterine transplantation in transgender women". BJOG: An International Periodical of Obstetrics & Gynaecology. 126 (two): 152–156. doi:x.1111/1471-0528.15438. ISSN 1471-0528. PMC6492192. PMID 30125449.
  25. ^ "History of ISUTx".
  26. ^ "Almost - 'Vision'". ISUTx.
  27. ^ Lefkowitz, Ariel; Edwards, Marcel; Balayla, Jacques (2012). "The Montreal Criteria for the Upstanding Feasibility of Uterine Transplantation". Transplant International. 25 (4): 439–47. doi:ten.1111/j.1432-2277.2012.01438.x. PMID 22356169. S2CID 39516819.
  28. ^ Lefkowitz, Ariel; Edwards, Marcel; Balayla, Jacques (Oct 2013). "Ethical considerations in the era of the uterine transplant: an update of the Montreal Criteria for the Upstanding Feasibility of Uterine Transplantation". Fertility and Sterility. 100 (four): 924–926. doi:ten.1016/j.fertnstert.2013.05.026. ISSN 0015-0282. PMID 23768985. However, it certainly bears mentioning that in that location does non seem to be a prima facie upstanding reason to reject the idea of performing uterine transplant on a male person or trans patient. A male or trans patient wishing to gestate a child does non take a lesser claim to that desire than their female counterparts. The principle of autonomy is not sexual activity-specific. This right is non absolute, but it is non the business concern of medicine to decide what is unreasonable to request for a person of audio heed, except as it relates to medical and surgical risk, as well every bit to distribution of resources. A male who identifies every bit a woman, for case, arguably has UFI, no functionally unlike than a woman who is born female with UFI. Irrespective of the surgical challenges involved, such a person's right to self-governance of her reproductive potential ought to be equal to her genetically female peers and should be respected.
  29. ^ "Why is At that place a Pregnant Homo Emoji?". fifteen September 2021.

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Source: https://en.wikipedia.org/wiki/Transgender_pregnancy

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