Remember this post? Remember the rhetorically speculative nature of the possibility of men becoming pregnant that was addressed?
Last week, Good Morning America ran a segment on a transgendered man, Thomas Beatie, who lives in Oregon with his wife, Nancy. Beatie was born female, but opted for sexual reassignment surgery later in his life so that he could be a man. Like many transgendered people, Beatie also decided to leave his reproductive organs (internal as well as external genitals) intact. In order to appear physically male, Beatie had breast reduction surgery and took testosterone injections so that he would develop male secondary sex characteristics such as facial and body hair as well as a deeper voice.
Legally, Beatie is male; biologically, he is female, still possessing the two X chromosomes that are the genetic mark of all human females.
Beatie and his wife decided to begin a family, and it was decided that he would carry the couple's child since Nancy had undergone a complete hysterectomy in her early 20's due to illness and was physically unable to do so. When it was decided that Beatie would carry the couple's child, the testosterone treatments were stopped and Beatie's menstrual cycle resumed 4 months later. Beatie underwent in vitro fertilization, but lost the triplets that were the result of the first IVF attempt as well as a Fallopian tube. His second attempt at in vitro was successful, and resulted in the baby he now carries, due in July.
It is not physically impossible for a transgendered man who still possesses female internal reproductive organs (ovaries and uterus) to bear a child. Biologically, as long as the person does not take testosterone--which, in high enough doses, would suppress the action of female hormones-- pregnancy is certainly possible. Transgendered men still secrete hormones such as oxytocin and prolactin, so nourishing a baby would also be possible.
But what will the ramifications of such a pregnancy be? Moral issues aside, what side effects could the fetus face? Remember that a mother's eggs are as old as she is, and that whatever chemicals, drugs or hormones she is exposed to will affect the viability of the egg and the genetic material within. There are some experts that speculate that Beatie's fetus may face increased risk of certain types of cancer due to his taking testosterone injections for so long (10 years). Many doctors are unsure, as there has only been one other documented transgendered pregnancy before Beatie's. There simply isn't enough research out there to substantiate any claim that the fetus may be more likely to develop certain types of cancer.
There are other considerations as well. Certainly a case such as this raises questions about gender roles and identity in society. Beatie's case will be something that bioethicists, psychologists and biologists will chat about for quite a long while. He and his wife are slated to appear on Oprah tomorrow to talk about their experience.
There is not much available press about Beatie and his wife, however, a first-person piece written by Beatie about his decision to become pregnant appears in this week's issue of the Advocate, a national magazine about gay and lesbian issues.
What do you think? I have definite opinions about this particular topic but I will reserve my commentary so that I can see what you all think.
Posted by scienceguru on April 2, 2008
Tags bioethics, discuss, science and society, what do you think?


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