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First, a patient would likely need castration surgery and high doses of exogenous hormones because high levels of male sex hormones, called androgens, could threaten pregnancy. In other patients, four more babies followed.

How a Transgender Woman Could Get Pregnant

One patient, she says, asked if she should wait to have her sex reassignment surgery until she could have a uterine transplant at the same time. He wanted to give them a chance at birthing their own children, especially in countries like his native Sweden where surrogacy is illegal. Yet with six planned uterine transplant clinical trials among natal female patients across the U.