Italian Trans Man Pregnant: How Did It Happen and What Are the Implications?

In a recent and unexpected turn of events, an Italian transgender man undergoing the transitioning process found himself five months pregnant, joining the unique category of “seahorse dads.”

Referred to as “Marco” in Italian media, this discovery, occurring post-mastectomy, has triggered inquiries into the medical, legal, and societal aspects surrounding transgender pregnancies.

Unraveling the Pregnancy’s Origins

Marco’s journey began with a mastectomy as part of his transition in Italy. Intent on further aligning his physical self with his gender identity, he had plans for a uterus removal when a surprising revelation unfolded.

During a routine check-up at a Rome hospital, it was discovered that Marco was five months pregnant, adding a layer of complexity to his transition journey.

This extraordinary case prompts reflections on the multifaceted challenges and potential risks faced by transgender parents and their children.

The Unanticipated Pregnancy

Despite undergoing hormone therapy to suppress female characteristics and promote male ones, Marco’s biologically retained ability to ovulate and conceive went unnoticed.

Engaging in unprotected intercourse with his partner, who was unaware of his transitioning process, Marco remained unaware of his pregnancy until the hospital check-up revealed a fetal heartbeat.

Confronted with the unexpected, Marco decided to embrace fatherhood while continuing his transition post-delivery. Legally, he will be recognized as the child’s father, though biologically, he will be the mother.

The Rarity of Transgender Pregnancy

While transgender pregnancies are exceedingly rare, documented cases do exist. Transgender men have experienced pregnancies before, during, or after transitioning. Some have utilized assisted reproductive technologies like sperm donation or in vitro fertilization, while others have conceived naturally.

Notable instances include Thomas Beatie, an American trans man, who gained public attention for giving birth to three children between 2008 and 2010. These occurrences, often dubbed “seahorse pregnancies,” challenge traditional gender notions, though some argue that such terminology oversimplifies the rich diversity of trans identities.

Navigating Challenges and Risks in Transgender Pregnancy

Transgender pregnancies pose a spectrum of challenges and risks, encompassing both physical and psychological aspects for both the trans parent and the child:

Hormone Therapy: Hormone therapy, integral to many transgender individuals, may have adverse effects on fetal development, especially in the critical first trimester. Ceasing hormone therapy promptly upon confirming pregnancy and resuming post-delivery is crucial, given potential cardiovascular risks.

Surgery: Depending on the type and timing of procedures, surgeries such as mastectomies or hysterectomies can impact breastfeeding ability or prevent future pregnancies. Postponing surgery until after pregnancy and delivery is advisable where possible, minimizing potential complications.

Mental Health: The mental health of the trans parent is a significant consideration, with potential challenges including gender dysphoria, depression, anxiety, stress, and societal stigma. Robust psychological support, counseling, and legal protection become imperative.

Child’s Health and Development: Children born to transgender parents may face unique challenges tied to genetic, hormonal, or environmental factors. Close monitoring, education, and communication are essential for the child’s overall well-being.


Transgender pregnancy, while a rare occurrence, delves into complex territory, challenging traditional perceptions of gender, sexuality, and reproduction. This phenomenon necessitates awareness, understanding, and respect from all stakeholders.

The trans parent and child embark on a journey demanding courage, resilience, and love, navigating societal prejudices and potential hardships. Recognizing the reality of transgender pregnancy is crucial, urging society and healthcare systems to extend acknowledgment and support.

Leave a Comment