Can women have children after gender-affirming surgery?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Will I be able to have children after gender-affirming surgery?

Doctor's answer:

Hello, those who have transformed into women through surgery cannot have children as women because they do not have a woman's uterus. However, it is still possible to have children of their own bloodline. After a clear diagnosis of immunological infertility, it can be treated effectively, as most cases are caused by immune factors, with sperm immunity and zona pellucida immunity being the main factors. Therefore, patients should go to the hospital for a clear diagnosis and take active treatment measures to avoid delaying the condition.

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