Transgender people can get pregnant in a few different ways.

⦁ If a transgender woman has not had bottom surgery, she can get pregnant naturally. This means that she can ovulate and conceive a child with a cis man (a person who identifies with the gender they were assigned at birth).

⦁ A transgender woman who has had bottom surgery can get pregnant through in vitro fertilization (IVF). This involves fertilizing an egg in a lab and then implanting the embryo in the woman’s uterus. The egg can be fertilized with sperm from a cis man or from a sperm donor.

⦁ A transgender man who has not had top surgery can get pregnant if he has not taken testosterone or if he has stopped taking testosterone for a period of time. This is because testosterone can suppress ovulation.

⦁ A transgender man who has had top surgery and has been taking testosterone for a long time will not be able to get pregnant naturally. However, he may be able to get pregnant through IVF.
It is important to note that pregnancy can be a complicated process for transgender people, and there are some risks involved. It is important to talk to a doctor about the risks and benefits of pregnancy before trying to conceive.

Here are some additional resources that you may find helpful:
⦁ World Professional Association for Transgender Health (WPATH): https://www.wpath.org/
⦁ The Trevor Project: https://www.thetrevorproject.org/
⦁ GLAAD: https://www.glaad.org/
⦁ Trans Lifeline: https://www.translifeline.org/

As of my knowledge cutoff in September 2021, transgender individuals assigned female at birth (transgender men) who have not undergone surgery to remove their uterus and ovaries still have the potential for pregnancy if they have functional reproductive organs and a menstrual cycle.

There are several methods that transgender men can explore to achieve pregnancy:

⦁ Cessation of Hormone Therapy: Transgender men who are taking testosterone as part of their hormone therapy may choose to temporarily suspend hormone treatment to allow for the resumption of menstruation and ovulation. This can increase the chances of conception. However, this approach should be done under the guidance of a healthcare professional, as it can have other effects on the body.

⦁ Assisted Reproductive Technologies (ART): Transgender men can explore options such as intrauterine insemination (IUI) or in vitro fertilization (IVF) with the use of donor sperm. These procedures involve the collection of sperm from a sperm donor and its placement into the uterus (IUI) or the fertilization of eggs outside the body, followed by the transfer of embryos into the uterus (IVF).

⦁ Fertility Preservation: Prior to transitioning, transgender individuals who desire biological children may consider fertility preservation options, such as freezing their eggs or embryos. These preserved reproductive materials can later be used for conception through ART methods.

It’s important for transgender individuals who are considering pregnancy to consult with healthcare professionals who specialize in transgender healthcare and reproductive medicine. They can provide personalized guidance, discuss the available options, and help navigate the process of achieving pregnancy based on individual circumstances.

It’s worth noting that individual experiences with fertility and pregnancy can vary, and not all transgender individuals may have the desire or ability to pursue pregnancy. Each person’s path to parenthood is unique, and the most suitable options will depend on personal circumstances, healthcare advice, and personal preferences.