High miscarriage and depression numbers show testosterone and transition hit female reproductive systems hard even after stopping. Limited data means the full damage stays hidden while more people go down this path without real warnings. Medical system pushing this without solid evidence on outcomes is playing dangerous games with irreversible choices.
- Systematic review looked at quantitative evidence on pregnancy in transmasculine people assigned female at birth.
- Mean gravidity (ever pregnant) 5.6-8.5% and parity (had births) 4.3-8.5% across studies.
- Conception rates low while on testosterone but not reliable as contraception.
- Miscarriage rates high in available data, often 31-40% per pregnancy.
- Postnatal depression rates 15-58% in the few studies that reported it.
- Testosterone use before pregnancy linked to fewer conceptions and higher loss even after stopping.
- Very limited data on access to care, assisted reproduction, stillbirths, obstetric complications and neonatal outcomes.
PubMed abstract and details for the systematic review: https://pubmed.ncbi.nlm.nih.gov/42415683/
Full article DOI link: https://doi.org/10.1111/aogs.70276