[quote AgathaMystery]@vivariumvivariumsvivaria I'm so disgusted with health care. That baby could have died, or been poorly from all the complications of prematurity - because a series of midwives and obstetricians are not brave or bright enough to say "no".
I don’t disagree with your comment overall but honestly the days of midwives & obstetricians doing pre-conceptual counselling are kind of over.
The only time I see pregnant trans men is when they are well & truly pregnant. It’s too late by then.[/quote]
Yes, that's fair. However, there are more people involved than midwives and obstetricians.
Who is giving the trans men advice about managing their cross sex hormones in order to restore menstruation? Is this something a gender clinic does? Or is the community advising itself - which seems to be the case locally as the majority of trans men here are supplementing their prescription by buying testosterone on the "grey market".
If FM was 28 when transitioned surgically, presumably was on hormones before that, but let's go with what we know. That is twenty years earlier than when a normal menopause should happen. So, if we addd those twenty years to the uterus as a "side effect" of testosterone then FM has a uterus of more than 48.
IUGR, failed induction, emergency c/section, tiny baby? Quelle surprise.
There is a need for research. I'm not saying that these people should have babies, I'm saying, if the FDA lists testosterone is a class X teratogen and even low dose testosterone HRT stays in the body for 2-3 weeks...then maybe it's wise to consider that people who are on long term testosterone need advice prior to conceiving.
I'm worried that there is a lack of information required for informed consent which is impacting the whole population of trans men and NB female people who take testosterone. And that it's not going to be them who lives with the consequences of that.