| ▲ | amarant 4 days ago |
| I can't help but wonder if there is any hope of this working for trans persons in the future? Could someone born as a man have a transplanted womb and get pregnant through in-vitro fertilization, in theory? anyone here with more medical knowledge who can comment on how likely that is to work at some point in the future? |
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| ▲ | spondylosaurus 4 days ago | parent | next [-] |
| Considering how many trans people who are assigned female at birth get hysterectomies (tissue that would otherwise be discarded), maybe there could be a "give a uterus, take a uterus" matching program... |
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| ▲ | tredre3 4 days ago | parent [-] | | Maybe I'm missing the point you're trying to make but people who get hysterectomies aren't doing it for fun, they're doing it because the organ is diseased so giving it to someone else wouldn't work. | | |
| ▲ | kgwgk 4 days ago | parent | next [-] | | Among those "trans people who are assigned female at birth" who "get hysterectomies" how many would you say are doing it because the organ is diseased. (Not that the proposal is practical, of course.) | |
| ▲ | throwawayk7h 4 days ago | parent | prev [-] | | This is not true; trans men get hysterectomies for different reasons than that it is diseased. | | |
| ▲ | spondylosaurus 4 days ago | parent [-] | | Yep, and many cis women will remove completely non-diseased uteruses as a form of permanent birth control :P | | |
| ▲ | ben_w 3 days ago | parent [-] | | One woman has told me she kept asking for this, but the doctors kept refusing "in case [she] want[s] kids later". As you may imagine, she was not happy with such responses. |
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| ▲ | jagger27 4 days ago | parent | prev | next [-] |
| It might work with a C-section. Reassignment surgery isn’t stretchy enough for a live birth. For trans girls who start before male puberty they might get enough pelvic rotation for there to be enough room for it, though. |
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| ▲ | spondylosaurus 4 days ago | parent [-] | | Not transfem myself, but considering the risk of tears and other unpleasantness from a vaginal birth I know I'd probably opt for a C-section if I were in that position regardless... recovering from bottom surgery once is tough enough without the miracle of life wreaking havoc on the place after :P | | |
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| ▲ | drooby 4 days ago | parent | prev | next [-] |
| I would suspect this is extremely dangerous. The female genome is intricately evolved to handle the hormone war of pregnancy. |
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| ▲ | thrance 4 days ago | parent [-] | | Are you an expert in the field? All I've read so far on the subject induicates that it should be doable in the near future. | | |
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| ▲ | thrance 4 days ago | parent | prev | next [-] |
| Apparently [1], it's not completely out of the question, but more research is needed before it can be safely attempted on a trans woman. However, I fear the largest hurdle will be a political one, with so many nutjobs [2] so hell-bent on imposing their dogmatic definition of gender on everyone. [1] https://www.euronews.com/health/2023/08/23/uterus-transplant... [2] https://www.theguardian.com/books/2025/apr/18/jk-rowling-har... |
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| ▲ | Thorentis 4 days ago | parent [-] | | [flagged] | | |
| ▲ | alxjrvs 3 days ago | parent | next [-] | | > what for almost all of human history, is something so far beyond the imagination as to be bordering on the grotesque. Citation needed | |
| ▲ | LadyCailin 3 days ago | parent | prev | next [-] | | You mean grotesque things like artificial insulin for making type 1 diabetes not a death sentence? Don’t confuse your own personal bigotry and small mindedness with what should be considered “grotesque”. | | |
| ▲ | Thorentis 3 days ago | parent [-] | | Artificial insulin is akin to medicine, potions, etc, I don't think anybody would consider this grotesque at any point in time | | |
| ▲ | thrance 3 days ago | parent [-] | | Jehovah's Witnesses? Transition is also a medical treatment, it is used to treat gender dysphoria, as the only remedy we know to be effective. If you feel like documenting yourself out of your ignorance (I doubt you will but who knows), here are some pointers. You can check each claim I make against the numerous studies and metastudies on the subject. * Gender dysphoria is real and touches a non-trivial part of the population. * Gender dysphoria poses significant hazard to mental health and can lead to suicide. * Gender dysphoria almost never goes away, and when it does, it's mostly from external pressures on the individual (religious, political). In which cases, the individual keeps most symptoms (depression...). * Transition effectively cures gender dysphoria. * Very few people regret transitioning (<1%). |
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| ▲ | thrance 3 days ago | parent | prev [-] | | What historical "truth" are you defending? Flat earth? Racism? You're being a bit vague. If you couldn't tell, that was a jab at your appeal to tradition. | | |
| ▲ | Spivak 3 days ago | parent [-] | | I always find it fascinating where people draw off the line at natural given modern life is closer to "life in plastic" than anything resembling nature. We stole fire from the gods, domesticated ourselves via agriculture, reshaped the world in our image, and have literally slain two of the four horsemen. | | |
| ▲ | thrance 3 days ago | parent [-] | | Thank you, you worded an idea I carried in my head for a while. Our world can hardly be considered "natural" anymore. |
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| ▲ | throw_m239339 4 days ago | parent | prev | next [-] |
| > I can't help but wonder if there is any hope of this working for trans persons in the future? why just trans? it would work on any male regardless of what they identify as if it were possible. No need for penis removal either, C-section would work. |
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| ▲ | thrance 4 days ago | parent | next [-] | | I guess trans women would have more of a desire to give birth than men. As one of the latter, I don't particularly seek experiencing child-bearing. | | |
| ▲ | throw_m239339 4 days ago | parent [-] | | > I guess trans women would have more of a desire to give birth than men. No, since plenty of trans men have babies. All these considerations would be completely irrelevant. | | |
| ▲ | throwawayk7h 4 days ago | parent [-] | | Trans men having babies is not strong evidence for cis men having less of a desire to give birth than trans women. If you have the equipment for it, it's going to happen some percent of the time. | | |
| ▲ | throw_m239339 4 days ago | parent [-] | | > Trans men having babies is not strong evidence for cis men having less of a desire to give birth than trans women. If you have the equipment for it, it's going to happen some percent of the time. It's strong evidence that the desire to birth child has nothing to do with gender identity, which latter will be pretty much pointless by the time science allows human fœtus gestation outside the human female body. |
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| ▲ | aisenik 4 days ago | parent | prev [-] | | Unless the procedure has changed dramatically, it requires a functional vagina. Neovaginas are qualified but I would not expect most male-identified people to opt for vaginoplasty. | | |
| ▲ | throw_m239339 3 days ago | parent [-] | | > Unless the procedure has changed dramatically, it requires a functional vagina. Neovaginas are qualified but I would not expect most male-identified people to opt for vaginoplasty. First, male-identified people can be born biological female. It's an identity. Second, the procedure doesn't exist for biological males to begin with right now, neovagina or not. A neovagina is physiologically not a biological female vagina to begin with anyway so I wouldn't help at all with the gestation. Birth can be done via C-Section. | | |
| ▲ | aisenik 3 days ago | parent [-] | | You'll be surprised to learn that neovaginas are also possessed by cis women. Trans men requiring vaginoplasty and receiving a uterine transplant are the nichest possible edge case, your "gotcha" is pure distraction. Trans women will receive the modern* uterine transplant operation, this I can state with certainty. Birth is done via C-section as a requirement of the UTx operation, the vagina is required for discharge. I haven't been able to pay attention to the operation for a few years, but it is clear that you are operating from uninformed conjecture. *The first uterine transplant was performed on a trans woman in Germany in 1930, Lili Elbe. This pioneering surgery lead to her death, as transplantation medicine was not adequately developed at that point in time. | | |
| ▲ | throw_m239339 3 days ago | parent [-] | | > You'll be surprised to learn that neovaginas are also possessed by cis women. Trans men requiring vaginoplasty and receiving a uterine transplant are the nichest possible edge case, your "gotcha" is pure distraction. > Trans women will receive the modern* uterine transplant operation, this I can state with certainty. Birth is done via C-section as a requirement of the UTx operation, the vagina is required for discharge. I haven't been able to pay attention to the operation for a few years, but it is clear that you are operating from uninformed conjecture. > *The first uterine transplant was performed on a trans woman in Germany in 1930, Lili Elbe. This pioneering surgery lead to her death, as transplantation medicine was not adequately developed at that point in time. Not all transmen require a vaginoplasty, not all transwomen have had a vaginoplasty or even have the desire to do so. No biological male has ever birthed a child so far, so all that's speculation about what is or isn't needed from you is just that, speculation, based on nothing since it's technically not possible for now. The desire to birth a child doesn't depends on anybody's gender identity nor anatomy. Now stop trying to put people in boxes and keep an open mind. |
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| ▲ | 4 days ago | parent | prev | next [-] |
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| ▲ | aisenik 4 days ago | parent | prev | next [-] |
| I've had my eye on the UTx op for the better part of the decade. It is my understanding that there's no medical reason to expect it would not be successful in a trans woman. I don't have recent numbers but we passed >100 uterine transplants a while back. The most complicated physical requirement is a functional vagina for discharge (which is generally on the roadmap for trans women interested in carrying a child). I am unaware of trans women having received this operation yet, but Lili Elbe died after the first uterine transplant nearly 100 years ago, before the Nazi regime destroyed trans medicine and eradicated contemporary trans existence. Given the global climate, I don't expect any trans recipients to be eager for publicity. It will happen, and soon. |
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| ▲ | aaaja 4 days ago | parent | prev | next [-] |
| What would be the point of that? I'd be surprised if it got past an ethics committee. Aside from this, the male pelvis isn't shaped to accommodate a womb, and males don't have the hormonal milieu to enable pregnancy. The closest that researchers have come to having a male gestate a foetus was in rats. But they had to connect the bloodstream of the male rat to a pregnant female rat, where both were implanted with embryos at the same time. Even then, it worked less than 5% of the time. |
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| ▲ | derektank 4 days ago | parent [-] | | Presumably, the point would be that a trans woman wanted to have kids without using a surrogate (which some people have ethical qualms with) |
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| ▲ | bobsmooth 4 days ago | parent | prev [-] |
| "You will live to see man-made horrors beyond your comprehension." |
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| ▲ | throwawayk7h 4 days ago | parent | next [-] | | That's a very negative attitude. Think about how happy these women must be to have this procedure done. Just because something isn't natural doesn't mean it's horrible. | | |
| ▲ | bobsmooth 4 days ago | parent | next [-] | | I'm all for giving nature the middle finger but maybe we've gone too far. | | |
| ▲ | Krssst 3 days ago | parent [-] | | Harmful divergence from nature: man-made climate change. Harmless divergence from nature: helping women have children. | | |
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| ▲ | sayasen 4 days ago | parent | prev [-] | | [flagged] |
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| ▲ | Melonai 4 days ago | parent | prev | next [-] | | It's interesting how something that seems both incredible to me and genuinely gives me hope for the future of myself and many others can be viewed by others as horrific and a perversion, although I am a bit saddened to think about it. People's perspectives give wildly different views on things. | |
| ▲ | aisenik 3 days ago | parent | prev [-] | | I can totally comprehend trans women having babies. Heck, I can comprehend cis men having babies: Arnold Schwarzenegger did it in the 90s. I can't truly comprehend the mass data collection and surveillance system, how it interplays with intelligence and law enforcement, and what the impact of connecting a global constellation of privatized armed satellites and a constellation of advanced phased array antennas & sdrs to either end of the system will be, however. I believe there are bigger threats to humanity than bodily autonomy. |
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