Transgender Women May Soon Have Babies, Fertility Expert Says

Stefanie Berks (L) and Daisy Boyd hold hands by Boyd's pregnant belly before their marriage ceremony at the Manhattan Marriage Bureau two days after the U.S. Supreme Court ruling on DOMA on June 28, 2013 in New York City. The high court struck down the Defense of Marriage Act (DOMA) and ruled that supporters of California's ban on gay marriage, Proposition 8, could not defend it before the Supreme Court. Boyd is 8 1/2 months pregnant and the pair said they planned to get married today before the ruling came down. Mario Tama/Getty Images

Those born with male assigned sex organs cannot conceive children biologically; however, this may soon change, at least according to one fertility expert.

Transgender women—those who were assigned male at birth—could give birth as early as “tomorrow,” Richard Paulson, an obstetrician-gynecologist and the president of the American Society for Reproductive Medicine, said, according to The Telegraph

Thanks to advances in transgender medicine, donated wombs may be able to help transgender women conceive on their own, Paulson said during the society’s annual conference in San Antonio, Texas.

“There would be additional challenges, but I don’t see any obvious problem that would preclude it... I personally suspect there are going to be trans women who are going to want to have a uterus and will likely get the transplant,” he said.

Since at least 1999, transgender men have successfully given birth to healthy children, The Washington Post reports. More recently, Trystan Reese, a transgender man and his partner Biff Chaplow, gave birth to a healthy child last August. Despite their successes, the process is much more complex for transgender women. Primarily because a man’s pelvis is a different shape than a woman’s, making the birth much more complicated. Still, Paulson insists that it’s possible, but notes the birth must be conducted via cesarean section.

“There would be additional challenges, but I don’t see any obvious problem that would preclude it,” Paulson said. “I personally suspect there are going to be trans women who are going to want to have a uterus and will likely get the transplant.”

Despite the estimated 1.4 million adults in the United States who identify as transgender, very few male-to-female patients inquiring about transplants, Marci Bowers, a transgender woman and gynecological surgeon in northern California, told Scientific American. Bowers welcomes the idea, but notes that there are many potential risks to a fetus and mother due to the biological environment of the womb.

11_5_Gay Pride Parade Couples march together as members of the South African Lesbian, Gay, Bisexual and Transgender and Intersex (LGBTI) community take part in the annual Gay Pride Parade, as part of the three-day Durban Pride Festival, on June 24, 2017 in Durban. Rajesh Jantilal/AFP/Getty Images

“I respect reproduction and I don’t think we will ever see this in my lifetime in a transgender woman,” she told Scientific American. “That’s what I tell my patients.”

Another barrier? Cost. If a uterus transplant were to become possible for trans women, very few will be able to afford it.

“It’s a class issue; you’ll only have wealthy people able to do this,” Christine McGinn, who performs gender reassignment surgeries in eastern Pennsylvania, told Yahoo.

Still, many remain hopeful. Although it may not actually happen "tomorrow," as Paulson said, other experts have sights on the near future.

“My guess is five, 10 years away, maybe sooner,” Karine Chung, director of the fertility preservation program at the University of Southern California’s Keck School of Medicine, told Yahoo in 2015.

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