Transgender pregnancy, particularly the ability for transgender women (assigned male at birth) to conceive and carry a pregnancy, is a complex topic. As of my knowledge cutoff in September 2021, it is not yet possible for transgender women to conceive and bear children naturally. Biologically, transgender women do not have a uterus and other reproductive organs necessary for pregnancy. However, advancements in medical technology and research are continually evolving, and it is advisable to consult with healthcare professionals for the most up-to-date information and options available.

In some cases, transgender women may choose to preserve their sperm before starting hormone replacement therapy (HRT) or undergo fertility preservation procedures such as sperm freezing. This allows them to have biological children through assisted reproductive technologies, such as in vitro fertilization (IVF) or surrogacy, in the future.

The specific regulations and availability of assisted reproductive technologies and surrogacy may vary by country or region. In India, the laws regarding surrogacy have undergone changes in recent years, including the Surrogacy (Regulation) Bill, 2019. It is advisable to consult with legal and medical professionals in Kerala or in your specific location to understand the current regulations and options for transgender individuals seeking to start a family.
It is also important to note that pregnancy and family-building decisions are deeply personal and may involve emotional, physical, and legal considerations. Transgender individuals considering parenthood should seek comprehensive support from healthcare providers, including reproductive endocrinologists, fertility specialists, and mental health professionals, who have experience working with transgender individuals and can provide appropriate guidance, information, and support throughout the process.