Transmasculine and Pregnant

For folks on HRT Testosterone they may experience a change in secondary sex characteristics such as fat re-distribution, deepening of the voice, increased muscle mass, male-pattern baldness and usually causes the cessation of menses (the person’s period/menstrual cycle stops), though some transmasculine folks become pregnant while taking testosterone.

How does a transmasculine person become pregnant?

If one hasn’t had bottom surgery (hysterectomy/phalloplasty) you retain the capacity to bear children. To become pregnant, some folks will go off testosterone and waited for menstrual cycles to return.

Do you have to go off Testosterone to become pregnant?

It’s important to note that some folks have gotten pregnant while taking Testosterone. If you are wanting to conceive it’s most successful to go off of T. Testosterone leaves your blood system within 10 days, in about 2 weeks you’ll begin menstruating. Once you begin menstruating that is the optimal time to begin trying to conceive.

Do you need fertility treatments to become pregnant?

Everyone’s ability to conceive varies based on your own genetic makeup. However, there’s no evidence at this time that says being on Testosterone at any point in your lifetime causes complications in conceiving.

Can I chestfeed (breastfeed)?

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If I’ve had top surgery and become pregnant, will my chest grow in size?

Chest regrowth during pregnancy depends on how much chest tissue is left behind after surgery. Generally, 95% of chest tissue is removed during typical FTM/N top surgery, making it extremely unlikely that chest growth could occur under any circumstance, including pregnancy. However, for patients who had an “aggressive chest reduction” in which more chest tissue is left behind, there is more potential for chest growth to occur during pregnancy when milk comes in. If you are considering pregnancy after having top surgery or want to discuss the possibility of regrowth more in depth, please contact us at