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Can men get pregnant?

No, cisgender men cannot get pregnant, because pregnancy requires a uterus, which male anatomy does not have. However, transgender men who still have a uterus and ovaries can become pregnant, including some who have used testosterone therapy.

This is a biology question rather than a symptom question, so the answer rests on basic reproductive anatomy plus a growing body of case reports on transgender pregnancy.

Strength of evidence

Good

The basic anatomy (a uterus is required to carry a pregnancy) is settled science from anatomy and physiology references. The transgender pregnancy information comes mainly from case reports, case series and one narrative review in CMAJ, which is weaker than a randomized trial but consistent across multiple independent reports.

What the evidence says

The short answer is no: a person born with male anatomy, meaning testes and no uterus, cannot become pregnant. Pregnancy happens inside a uterus, or womb, where a fertilized egg attaches and grows. Male reproductive organs do not include a uterus, so there is no place for a pregnancy to happen, no matter how advanced medicine gets right now.

Things get more interesting when we talk about transgender men. A transgender man is someone who was born with female reproductive organs, including a uterus and ovaries, but identifies and lives as a man. If he has not had surgery to remove his uterus and ovaries, he still has the body parts needed to carry a pregnancy.

Doctors have documented many cases where transgender men became pregnant and gave birth, including some who were taking testosterone, a hormone used in gender-affirming care. Testosterone often stops periods and can lower fertility, but it does not always fully stop egg release, so pregnancy can still happen, sometimes unexpectedly.

So the accurate way to think about it is: pregnancy depends on having a uterus and functioning ovaries, not on gender identity. A cisgender man, meaning someone born male who also identifies as male, will never have these organs and cannot get pregnant. A transgender man may still have them and, in that case, pregnancy is medically possible.

If you are asking this because someone in your family is transgender and thinking about having children, it is worth talking to a doctor familiar with gender-affirming care. They can explain fertility options, including whether to pause hormone therapy, before trying to conceive.

Sources

✓Reviewed by CH, MD, FRCPC

Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review

Answer checked August 13, 2026

Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so this may not apply to you. In an emergency, call your local emergency number. What Founded Parent cannot do

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