Q. After a successful sex change operation is done (from male to female), if the patient wants to give birth to a child, is it possible? And if so, would there be any chance of abnormality in the child?
In theory, it is possible to conceive and deliver a baby after a sex-change operation, in reality very rare. 1. If the male is actually genetically a female, has a womb, and had hormonal defects that caused him to appear male, the operation would simply correct some minor structural abnormalities. (Genetic females have the chromosomal configuration: XX.) Such a female could have a baby. The baby has as much chance of being normal as any other. Such cases are very rare. 2. If the patient is genetically female, but appeared male, in most cases such females would have an incompletely developed womb. The patient may behave like a female emotionally and sexually, but would be unable to have a baby. Such cases are commoner than the situation described above. 3. If the patient is genetically male, he can never bear a child regardless of the nature of the operation, even after the sex change operation. (Genetic males have the chromosomal configuration: XY.) In a specific case, ask your doctor. The doctor can conduct a complete examination and advise you.