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Culture War Roundup for the week of June 22, 2026

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"Can trans women get pregnant?"

No, but trans men can, and they're still men, and by the way that's non-binary erasure, bigot.

This is the linguistic jiggery-pokery which annoys most ordinary people, I think. Pregnant people are mothers, not fathers. Women get pregnant, men don't. You can talk about gender all you like and being inclusive and sensitive and all the rest of it, but right now - even with uterine transplants - biological males can't get pregnant, only biological women. EDIT: You want to be called "Bob, pronouns he/him" and after the kid is born everyone refers to you as the father, sure, okay. But you're not a male who got pregnant and you're not the father father. I can see how this leads to the kind of tip-toeing language around terminology that gives us "some people with uteri who carry pregnancies" (thankfully only confined to research papers like this so far).

Later, when technology and medical science unleashes horrors hitherto unimagined by the human mind progresses and it is possible to get an entire transplant of donor uterus, donor ovaries, construct a neo-cervix and neo-vagina to be birthing canal, a ton of immunosuppressants and hormones, make sure the entire surgically-implanted new system functions, then yes trans women could get pregnant. Probably go with donor uterus, surrogate ova implanted by IVF, and delivery by Caesarean first since creating a complete and functional reproductive system in a body not meant for one is going to be a huge hurdle and will have to be taken step-by-step.

Even uterine transplants, at present, are only good for a couple of pregnancies before needing to be removed in order to come off immunosuppressants:

If the woman is approved for the procedure, the process starts with creating an embryo using in vitro fertilization (IVF), in which the woman’s eggs are retrieved and fertilized with sperm. Next, a healthy uterus is transplanted into the patient. About six months after a successful uterus transplant, a single embryo is implanted into the uterus. If it leads to a successful pregnancy, the pregnancy is treated as high risk, and the baby will be delivered via Cesarean section, because women with uterine factor infertility (UFI) cannot delivery vaginally. Babies born from uterus transplant recipients tend to be born early, at about 35 weeks of gestation. Caring for these premature infants often requires a stay in a neonatal intensive care unit for several weeks. The entire process can take 2-5 years.

As with other types of organ transplants, the woman must take immunosuppressive medications to prevent the body from rejecting the transplanted uterus. After the baby is born and if the woman does not want more children, the transplanted uterus is removed with a hysterectomy procedure, and the woman no longer needs to take anti-rejection medications.

This is the state of the art at present even for systems set up to be child-bearing. Imagine the difficulties to be overcome for a system that is not intended for same.

Imagine if we could analyze every trans person, find immune compatible pairs and swap their genitalia.

Still a long way from that, but I'm sure Science! is working on it.

I think I read something about male genital transplants? Lemme check - ah yes, Johns Hopkins got you covered there, but only if you're cis I'm afraid.