Transgender women (assigned male at birth) who have not undergone any gender-affirming medical procedures can get pregnant in the same way that cisgender women (assigned female at birth) can. This means that they can become pregnant through sexual intercourse, in vitro fertilization (IVF), or other assisted reproductive technologies.
However, transgender women who have undergone gender-affirming medical procedures, such as hormone therapy or bottom surgery, may have difficulty getting pregnant. This is because hormone therapy can stop ovulation, and bottom surgery can remove the uterus and ovaries.

If a transgender woman is interested in getting pregnant, she should talk to her doctor about her options. There are a number of things that she can do to increase her chances of pregnancy, such as banking sperm before starting hormone therapy, or using a surrogate.

It is important to note that pregnancy is a complex process, and there are risks associated with it for all people, regardless of their gender identity. Transgender women who are considering pregnancy should talk to their doctor about the risks and benefits of pregnancy, as well as the potential impact of pregnancy on their gender identity and transition.

Here are some additional resources that you may find helpful:
⦁ The Trevor Project:
⦁ Trans Lifeline:

As of my knowledge cutoff in September 2021, transgender women (assigned male at birth) do not have the biological capability to become pregnant through natural means.

However, there are options available for transgender women who wish to have a child.
⦁ Sperm Banking: Prior to starting hormone replacement therapy (HRT), transgender women can opt to preserve their sperm through sperm banking. This allows them to have biological children through assisted reproductive technologies, such as in vitro fertilization (IVF) or artificial insemination, with the help of a partner or a surrogate.
⦁ Surrogacy: Transgender women can work with a gestational surrogate who carries the pregnancy on their behalf. In this process, an embryo created using sperm from a donor or the transgender woman’s partner (if available) is implanted into the surrogate’s uterus. The surrogate carries the pregnancy to term and gives birth to the child.

It’s important to note that the availability and legality of these options can vary depending on the country or region. It is advisable to consult with reproductive specialists or fertility clinics that have experience working with transgender individuals to discuss the available options, legal considerations, and the specific requirements for each process.

It’s also worth mentioning that advances in medical science and reproductive technologies continue to evolve, and there may be new developments in the future that could expand the possibilities for transgender women to become pregnant. Consulting with healthcare professionals who specialize in transgender healthcare can provide the most up-to-date information and guidance on the available options.