Pregnancy via abdominal cavity

The bottom line

With our understanding constantly evolving, it’s important to honor the fact that one’s gender doesn’t determine whether they can become pregnant. Many men have had children of their own, and many more will likely do so in the future.

It’s crucial not to subject those who do become pregnant to discrimination, and instead find ways to offer safe and supportive environments for them to build their own families.

Likewise, it seems feasible that uterus transplants and other emerging technologies will make it possible for AMAB individuals to carry and give birth to children of their own. The best thing we can do is to support and care for all people who choose to become pregnant, regardless of their gender and the sex they were assigned at birth.

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KC Clements is a queer, nonbinary writer based in Brooklyn, NY. Their work deals with queer and trans identity, sex and sexuality, health and wellness from a body positive standpoint, and much more. You can keep up with them by visiting their website, or by finding them on Instagram and Twitter.

Preparing a man for conception - clinic "Family Doctor".

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Preparation for conception is necessary for both a woman and a man. This is because the child receives 50% of the genetic material from each parent. So, for the birth of a healthy child, his parents must be healthy.

Many factors can affect the male reproductive system. First of all, bad habits should be mentioned, which include smoking and alcohol abuse, as well as constant stress and chronic lack of sleep. It is also the presence of sexually transmitted infections, exacerbation of chronic prostatitis, hormonal disorders, taking certain medications and steroids, a sedentary lifestyle, obesity, overheating of the groin and perineum, etc.

When planning a conception, a man needs to exclude the impact of all of the above factors in three months and cure diseases and infections, because. the full cycle of sperm renewal takes three months.

What can you do to improve the quality of your sperm = the genetic material of your unborn child?

1. Remember that sperm do not like overheating. Therefore, it is advisable to cancel visits to baths and saunas, to keep the seat heating in the car turned on for too long.
2. Reduce weight if you are obese. For men, a waist circumference in centimeters (at the level of the navel) over 94 cm = obese. In adipose tissue, testosterone is converted to estrogens, many inflammatory factors are produced, and this can also lead to type 2 diabetes, etc. Which, as you understand, are not the best companions for easily injured sperm!
3. Exclude sugary carbonated drinks, dyes, trans fats, confectionery from the diet.
4. Do not abuse alcohol. Alcohol, in addition to a direct toxic effect on spermatozoa, reduces the body's ability to absorb zinc, which is necessary for normal spermatogenesis.
5. Stop smoking. According to numerous studies, up to 50% of couples suffering from idiopathic infertility, after stopping smoking, find a long-awaited baby.
6. Try to be less nervous and sleep more.
7. Do not take medicines without a doctor's prescription (many drugs can significantly impair sperm quality). From here follows the rule: treat your chronic diseases before the moment of pregnancy planning.

In order to understand how fertile you are, you need to come to a consultation with a urologist-andrologist. It is advisable to have at least a spermogram with you. The rest of the list of examinations will be consulted by a doctor of the aforementioned specialty. It is better for a married couple to undergo an examination in parallel so that the treatment does not work out late, because. after the age of 35, a woman loses the ability to bear children faster than a man, and many couples miss the moment just because the man does not want to visit medical institutions.

To make an appointment with a specialist, call the single contact center in Moscow +7 (495) 775 75 66, fill out the online appointment form or contact the receptionist of the Family Doctor clinic.

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Is male pregnancy possible in nature? — T&P

The most famous example of “male pregnancy” is still the story of Thomas Beaty, a transgender man who retained his uterus and gave birth to three children.

Biomedical Discourse of Male Pregnancy

Matrix Hospitality: Philosophy, Biomedicine, Culture

Over the past two decades, some eminent and eminent biomedical experts in various parts of the world have been explaining the feasibility of male pregnancy or taking it seriously (Walters 1991; Teresi and Mcauliffe 1998; Winston 1998; Gosden 2000). From a biomedical point of view, male pregnancy can be understood as another form of ectogenesis. As the long history of supporting ectogenetic research shows, male pregnancy is also seen as a solution to the problem of infertility and, increasingly and more specifically, as an issue of the legal rights of men (especially homosexual and transgender men) to reproduce. William Walters, Executive Clinical Director at the Royal Melbourne Women's Hospital and co-author of a book with Peter Singer (1982), is a prominent proponent of ectogenesis. Walters specializes in transsexuality and describes those who may be interested in male pregnancy: “[Biological males] expressing an interest or strong desire to have a child of their own include (i) transgender men who have become women, (ii) homosexuals in a monogamous relationship , (iii) single heterosexual males with strong maternal instincts, and (iv) married males whose wives are infertile or fertile but have serious health conditions that are unfavorable for childbearing” (Walters 1991, 739).

Currently, abdominal pregnancy and uterine transplantation are considered to be the main ways to achieve human male pregnancy in the future. It is worth noting that both of these possibilities treat pregnancy as a matter of "where" - that is, finding a suitable place to introduce a fertilized embryo into a male body. This problem is often presented as a major impediment to male pregnancy, reinforcing the understanding of the womb/womb as "just a smart incubator", as Gosden puts it, that could easily be replaced. Before we take a closer look at both of these possibilities for human male pregnancy, I will briefly outline the current state of biomedical research regarding this issue.

Teresi and Mcauliffe (1998) collected extensive information on Australian, New Zealand and British studies of male pregnancy in animals. It is important to note that most of these studies derive their justification from references to the benefits of biomedicine, which have nothing to do with male pregnancy, but rather deal with problems of embryonic development, evolutionary biology, fertility treatment, and so on. These examples, however, support my contention that the main question of pregnancy remains the question of where: where can a male baboon or mouse embryo be implanted and how long can that embryo survive inside the abdominal cavity without being expelled or reabsorbed. Spatial restrictions for the placement and development of the embryo, observed in animals, are given as one of the objections to the possibility of male pregnancy: “It is obvious. The placental sac and the baby at term will weigh about twenty-five pounds. And during all the months of growth, this bag can twist and turn” (Hallatt, cited in: Teresi and Mcauliffe 1998, 180). Despite these limitations, a male baboon carried an implanted embryo for four months, according to Dr. Jacobsen, a renowned fertility specialist credited with developing amniocentesis to check for genetic abnormalities. Jacobsen concludes that "the miracle of our discovery" was the realization that "a fertilized egg can be autonomous, producing all the hormones it needs for development" (Teresi and Mcauliffe 1998, 177). Jacobsen also reported a successful abdominal pregnancy in a male chimpanzee (Andrews 1984, 261). A pregnant male mouse carried a fetus in her testicles for twelve days to "perfect condition," adds David Kirby of Oxford University, and it was only the lack of elasticity and space inside the testicles that stopped the development of the embryo (Teresi and Mcauliffe 1998, 177). With successful implantation and gestation in the male baboon and mouse, Harding concludes, like Jacobsen, "hormonally, the embryo is completely autonomous" (Harding, cited in Teresi and Mcauliffe 1998, 179). This means that a human male does not even have to undergo hormone therapy in order to become pregnant. Once the placenta develops, the "autonomous" creature will produce its own steroids on its own.

The biomedical community thus assumes that if male pregnancy is ever possible, it will take place in the abdominal cavity. There is practically no discussion about the effect on surrounding organs. When it comes to pregnancy, the male body, like the female body, comes to be seen as a passive "bag of tissue" and an empty space just waiting to be filled through in vitro fertilization or some other type of assisted reproductive technology. The possibility of abdominal pregnancy in men is based not only on the limited number of male pregnancies in animals, but also on successful abdominal (i.e. ectopic) pregnancies in women. Abdominal pregnancies in women occur outside of their "place" they are supposed to, that is, they are ectopic. Today, most researchers are calling for a "wait and see" approach to ectopic pregnancies in previously infertile women or those who have passed the placental fixation stage without complications, "because it is impossible to predict which of the spontaneous abdominal pregnancies will develop in a relatively favorable way in order to produce a normal, healthy baby, the expectant approach to all abdominal pregnancies can be argued, especially when the carrier has a long history of infertility" (Walters 1991, 738-739). The wording is important here: instead of focusing on the prevalence of failures, life-threatening cases, the focus has shifted to a relatively small number of successful cases, which paves the way for the biomedical future of male pregnancy.

For Roger Gosden, another researcher who seriously considers human male pregnancy, it is a distinct, if risky, possibility (Gosden 2000, 193–197). Gosden offers various grounds for male pregnancy: the father may be the recipient of the fetus until the mother's uterus is ready to receive it; male pregnancy can replace a surrogate or artificial pregnancy, which will mean lower costs and resolution of legal problems; it will bind the child and the father at a very early stage of development. Gosden, however, concludes that at present, "given the availability of safe alternatives, there is no need to construct an ectopic male pregnancy," where "safe alternatives" refers to traditional maternal pregnancy. Concerns about the safety of male pregnancy are notable, as Gosden seems to view father involvement in childbearing as highly scientifically probable. In his work, he also shows that the lack of research in this area in comparison with ectogenesis (its other species) is more the result of a "cultural gap" that refuses to recognize its possibility than a biological improbability: apparently, to get funding for the study of ectogenetic systems, even as far-flung and futuristic as male pregnancy, it is much easier than to study male pregnancy as such (Gosden 2000, 193–197).

Walters, one of the early advocates of the possibility of male pregnancy, when discussing biomedical alternatives to infertility, seriously considers abdominal pregnancy for women: “Due to the possibility of abdominal pregnancy to end in the birth of a normal healthy child, it is understandable that some well-informed infertile couples consider this method of childbirth as solutions to their problems... There is no doubt that artificially induced abdominal pregnancy has legal and psychological benefits for infertile women who would otherwise have to consider surrogacy. In this way, her (the couple. - I. A.) understandable anxiety about the surrogate mother giving up the child at birth will be eliminated ”(Walters 1991, 733, 737).

The "site" commonly cited as suitable for implantation in the abdominal cavity is the omentum (one of the tissue folds of the peritoneum, a membrane that supports and envelops the organs of the peritoneum), since it seems impractical to allow a fertilized embryo to wander around the body. The human embryo needs to be immersed in tissues rather than superficially attached to them (it is noteworthy that implantation in humans is deeper than in other animals). Therefore, the omentum is chosen as a place where it can be implanted, where the blood supply and placenta can be developed and growth is ensured. Since men may not provide the necessary amount of hormones for the successful development of the embryo, they may need to undergo hormone therapy. In addition to many other drugs that correct their bodies to facilitate this process, they may need immunosuppressants, especially in the period before the placenta is fully developed. As previously shown in the case of male pregnancy in animals, the researchers believe that this should not be a big problem, since, they argue, the embryo in the first weeks of its development is more or less a self-sufficient creature. And just as it develops outside the body after artificial insemination and before implantation, the same will happen inside a man. Another possibility is that the embryo, once contact with the male body is established, will facilitate the production of the necessary hormones, just as it does in the female body through the placental surface.

Male Pregnancy Project 1999-2002 Li Mingwei and Virgil Wong

The second option for male pregnancy is transplantation, and is based on animal and human uterine transplantation studies (Altchek 2003; Bedaiwy et al. 2008 ; Gauthier et al. 2008). One of the notable characteristics of uterine transplantation is that researchers present and treat it as a rare temporary transplant, as the uterus is not a vital organ, unlike the liver, kidney, and even the eyes. This means that after the baby is born, the uterus can be removed. In addition, due to hysterectomy, human wombs are almost constantly "available" and can be used relatively "cheaply". Gosden suggests that transplanting the uterus into the father's body would be beneficial for the baby, as the dense uterine walls provide a "safe" environment, and the risk of abnormalities in ectopic births exceeds 50 percent (Gosden 2000, 196). It is well known that the relative utility of uterine transplant research stems from the fact that not all cultural and religious contexts consider surrogacy or assisted reproduction acceptable. For example, one famous attempt at uterine transplantation was carried out in Saudi Arabia, and some argue that this is not surprising given the negative cultural attitudes towards surrogacy and assisted reproduction (Fageeh et al. 2002). Since women with ovaries, as well as women with ovarian tissues, benefit from ovarian tissue transplantation and in vitro fertilization in the postmenopausal period, there is agreement among biomedical scientists that it is only a matter of time before the uterus is transplanted into the woman and the embryo is implanted. and delivered on time. Thus, in this case, the rationale is that if a woman or a female animal is capable of this, then so is a man. It is noteworthy that the scientific language describes both of these problems in a very straightforward manner, which serves to increase the biomedical possibility of male pregnancy. The womb transplant is described as: medicate, inject, cut, remove, mix, grow, remove, inject, medicate, bear, cut, and become a mother. The male body is just another abdominal cavity, a simple implantation incubator.

However, many problems and complications surround both abdominal and womb transplant pregnancy. Just as in the case of abdominal pregnancy in women, the risk to the life of a pregnant man will be great. The vast majority of ectopic pregnancies end in surgery, provided that such a pregnancy is detected at an early stage and the operation is still possible. Otherwise, an ectopic pregnancy can be fatal. Other common complications are genetic abnormalities, developmental disorders and, if the child survives, a significantly reduced quality of life. Since the child is limited by adjacent organs, the head and body may not form properly. However, again we are told that since there are cases of healthy, normal children being born as a result of ectopic pregnancies, there is a (however small) possibility of successful pregnancy in men (Walters 1991). Most of the proponents of male pregnancy cited here (Gosden 2000; Walters 1991) refer to it as stemming from the needs of men who have "strong maternal instincts" and exhibit "effeminate" behavior - as "transgender", "feminine" or hormonalized during pregnancy. . These perspectives once again reveal pregnancy as a maternal attitude (even when discussing male pregnancy) and an attitude of hospitality. Thus, apart from the need for internal tissues "like a womb" (like an omentum), or the need for a uterine transplant, that is, apart from searching for an "empty space" inside the male body, the idea of ​​male pregnancy has the potential to change, thanks to the mother's attitude of hospitality and that what this attitude makes possible is the perception of what it means to be a man.

In summary, biomedical experts who view male pregnancy as the outcome and next (logical?) step of their own practice place it in the same rubric as research on uterine transplantation and preterm birth, while agreeing that bioethically is a much more complex issue. It has become much more relevant and openly discussed in homosexual and transgender communities (Walters 1991; Sparrow 2008). Although Gosden never mentions homosexuality and suggests male pregnancy as a solution to the heterosexual family's problems with fulfilling it natural when a woman is unable or unwilling to bear a child herself, in other discourses, the terminology of reproductive "rights" and "freedoms" for homosexual and transgender men has significantly influenced this discussion, shifting the emphasis from sacred duty or pre-established need in nuclear heterosexual reproduction to the right to have a child for men.

Bioethical discourses on the possibility of male pregnancy

In the bioethical literature, the problem of male pregnancy is associated with the discourse of the "right" to receive additional reproductive services. The logic here is simple: if we spend so much time and effort helping women who would otherwise not be able to conceive and bear children, then we need to help men too. Assisted reproductive technologies should not discriminate against anyone: neither the poor nor the rich; neither healthy nor sick or people with developmental features; neither white nor non-white; neither women nor men. This argument seems to be quite valid, especially in cases where those who wish to receive such services must pay for them out of their own pocket, thus reinforcing the individual right to "autonomy" and "freedom of choice".

Another justification for male pregnancy in bioethics is the market economic model. According to this logic, male pregnancy, like other assisted reproductive services, will be a normal business model doing some work for families and individuals, just like an adoption agency and an assisted reproduction clinic. Currently, unmarried men can pay for surrogacy services in some US states. Both Walters (1991) and Gosden (2000) argue that male pregnancy can reduce the number of complications (especially emotional, legal, and financial) associated with surrogacy. If an unmarried woman (gay or not) wishes to receive in vitro fertilization (IVF) services using frozen sperm to have children of her own, then she can do so, and a man whose desire to have a biological child in this system is guaranteed through egg donation and surrogacy (considering, of course, that he is quite wealthy and IVF will work for a surrogate mother), can also receive such a service.

The Male Pregnancy Project 1999–2002 Lee Mingway and Virgil Wong

Although the definitions of feminine and masculine are becoming more and more complex in biomedical and bioethical discourses, they still rest, interestingly enough, on the fact that which is regarded as the "science" of "sexual differentiation". The legal terminology pertaining to it has shifted from primary and secondary "sexual characteristics" such as penis/testicles and uterus/vagina/breasts to "masculine behaviour", "biological male" and "chromosomal male" (Walters 1991, 199; Sparrow 2008). Each new definition seeks to overcome the shortcomings found in the previous one. The problem with definitions usually comes up when economic, political, and health inequalities are recognized for transgender, transgender, biogender, bisexual, intergender, intersex, and homosexual communities and individuals (Roscoe 1991).

Sparrow (2008) wrote an excellent essay that takes male pregnancy seriously from a bioethical perspective. However, despite Sparow's recognition of legal, economic, and medical inequalities, his main bioethical argument against male pregnancy is still based on the notion of biology as "destiny." Thus, according to Sparow, the suggestion that men have the right to be pregnant is a mockery of the "natural order of things," especially since some women want but cannot get pregnant. However, such a claim, in turn, undermines women's claim to these technologies as their "natural" right in addition to their "cultural" rights. Therefore, Sparow argues, such reasoning is a perversion of the concept of "reproductive freedom" and "rights" and makes a joke of women's rights, especially since male pregnancy is not based on "normal human life cycle" "reproductive biology facts" or "normal reproduction context" and is a "frivolous or banal project" (Sparrow 2008, 287). His argument against male pregnancy reveals that women's claims to a fundamental "right" to assisted reproduction are often based on cultural or political arguments—even if "nature" is used to support them—and argues for women's specific rights at the expense of other groups. (including animals). When it comes to men, however, the social and collective needs and contexts surrounding pregnancy are invoked, and the "collective" and "social" are favored over individual rights to pregnancy (Squier 1995).

As Walters (1991) points out, along with others, the biggest beneficiaries of IVF and assisted reproductive medicine research are (white) affluent women. Squier (1994 and 1995) also notes that we often forget that current biomedical research is not politically and culturally neutral. Therefore, Sparow's argument that male pregnancy is not is a normal reproductive context and therefore should not be supported is untenable, as the same charge can be leveled against current biomedical research on infertility in general: a significant amount of scientific and government resources are directed to support the treatment of infertility in privileged women, who, in turn, can support such research through social, cultural and political pressure on the relevant institutions.

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