University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Obstetrics and Gynecology


Nancy Reid, DHSc, PA-C


Purpose: The purpose of this article is to identify the potential for fecundity in transgender men, as well as methods of support for such fecundity or for contraception for these patients.

Method: A Medline literature search was conducted with search terms transgender, male, and pregnancy.

Results: Premenopausal transgender men who retain internal female reproductive organs, who use exogenous testosterone, and who are sexually active with cisgender men are often capable of conception.

Conclusion: Premenopausal transgender men with uteri, who are using exogenous testosterone, and who have receptive vaginal sex with cisgender men must be appropriately identified by their clinicians and assessed for the potential for fecundity. Clinicians and patients alike may not be aware of this possibility. Patients must be offered appropriate reproductive care depending on whether the patient prefers to avoid conception, or to become pregnant.


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