Transgender women, assigned male at birth but identifying and living as women, generally do not have the reproductive capability to conceive and bear children. This is because the typical process of pregnancy requires a uterus, ovaries, and other reproductive organs that transgender women do not have naturally.

However, with advancements in reproductive technologies, transgender women now have options to have genetic children. Some transgender women may choose to preserve their sperm prior to undergoing hormone therapy or surgery, which can be used for assisted reproductive techniques such as in vitro fertilization (IVF) with a gestational surrogate. In this process, the sperm of the transgender woman is combined with eggs from a donor, and the resulting embryos are implanted into a gestational surrogate who carries the pregnancy to term.

It’s important to note that these reproductive options may involve complex medical procedures and can be emotionally and financially demanding. Consulting with fertility specialists and reproductive healthcare professionals who specialize in working with transgender individuals is crucial to understanding the available options, potential risks, success rates, and legal considerations involved in pursuing pregnancy as a transgender woman.