Can you not have children after sex reassignment?

Patient's question:

Hello, after gender transition, can you no longer have children? Do you usually have periods and bleeding like women?

Doctor's answer:

The current vagina is usually made by turning over the skin on the penis. Since there are still nerve plexuses, it remains quite sensitive. Unlike real women, transgender individuals do not have a uterus, so their vagina naturally does not secrete fluids or menstruate. If pregnancy is desired, an artificial uterus must be transplanted, but there have been no successful cases so far. I believe everyone knows that assisted reproductive technology is quite harmful to men, so it is important to seek treatment as soon as possible. In daily life, attention should be paid to dietary issues, avoiding irritating foods, and maintaining a balanced diet. Additionally, regular follow-up visits can be scheduled when necessary.

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