“The Man Who Became Pregnant: A Transgender Journey to Fatherhood”
“The Man Who Became Pregnant: A Transgender Journey to Fatherhood”
Alex Rivera never imagined he would carry a child. At 27, he had just completed his medical transition—on testosterone for two years—and was fully living as a man. But a sudden change in his body caught him off guard. He began experiencing morning sickness, fatigue, and a growing sense of fullness in his abdomen. Initially, Alex blamed stress from his residency program.
When symptoms worsened, he scheduled an appointment with an OB-GYN who specialized in transgender healthcare. To Alex’s astonishment, the ultrasound revealed a tiny heartbeat: he was eleven weeks pregnant. The doctor explained that although testosterone suppresses ovulation, it doesn’t act as a foolproof contraceptive; Alex had conceived during a brief window when his hormone levels dipped.
Alex chose to continue the pregnancy. He navigated prenatal care in a world unprepared for a pregnant man—fielding stares, educating providers, and finding community support online. Nine months later, he delivered a healthy baby boy named Kai. Alex’s story made headlines worldwide, breaking boundaries in both medicine and gender identity, and proving that family comes in many forms.
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