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Is it possible to conceive a baby after a sex change operation?

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?

A:In theory, it is possible to conceive and deliver a baby after a sex-change operation, in reality very rare. • 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. • 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. • 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 better.


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