Among the important issues raised by the pregnancy of Oregonian Thomas Beatie is whether a female-to-male transgender person who becomes pregnant might be endangering the fetus, especially someone like Beatie, who has been taking testosterone for at least 10 years.

There's very little research on the subject to date, and some experts are at odds about it. Dr. Charles Garramoni, a Florida plastic surgeon who specializes in female-to-male transgender surgery (but was not involved in Beatie's case), said the chances of complications are probably slim.

"As long as he is under the strict care of a endocrinologist, as long he has hadn't just gotten the testosterone from the Internet or something, as long as the endocrinologist says everything is OK, there's no reason to think otherwise."

But Michael Bartalos -- a New York geneticist and internist who works with many transgender patients -- said that he would be concerned about the health of the eggs in Beatie's body.

Because women are born with all the eggs they will carry for life, long-time exposure to chemicals or hormones can have an adverse effect. Any possible damage done by 10 years of testosterone would be irreversible, he said.

And even if Beatie's baby is born healthy, he said, "Who knows what might happen to her in 20 years? [The baby] could be at higher risk for certain types of cancer development."

Beatie, a small-business owner, created a stir this week after announcing he is six months pregnant. Beatie, who was born female, underwent sexual reassignment surgery 10 years ago but, like many transgender people, kept his reproductive organs intact.

Another issue is whether Beatie and others like him could be setting their children up for playground misery and years upon years on a psychiatrist's couch. But Katherine Rachlin, a psychologist who works with transgender people and their families, believes this worry is unfounded, if understandable.

"People often ask that question about transgender parents in general, but research shows that the children adjust fine," Rachlin said.

source : abcnews.go.com

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