Can a mtf transsexual get pregnant?

Answer 1

As of 2006, Dr. Cinzia Marchese in Italy used Stem cells to grow a natural functioning vagina for 2 women. With this in mind, I am confident that the technology to recreate a vagina, uterus, and even ovaries for MtF transexuals is within a decade's reach. (In all actuallity, it could happen right now with the proper support.)

Proper SRS is at hand.

When this occurs, yes, we will be able to become pregnant, as well as say 'goodbye' to ANNOYING hormone regimens.

( I placed my edit above the below explanation because the technology does indeed exist.)

Under present available surgeries to the public at large, this is not available. The Sex Reassignment Surgery operation provides a neo-vagina from the penis, but no uterus. It will be possible with stem-cell therapy when we are able to grow replacement organs; it will be possible for a woman (biological or not) to have ovaries, a uterus, a vagina and fallopian tubes (and attending parts) lab grown and have them transplanted into the woman without fear of rejection.

All this will possible with out using cloning. Without more research into stem-cell therapy (non-blastocyte and blastocyte), personal organ replacement will not be possible. This same technology will stop many deaths because there aren't enough organ donors for people on transplant lists. An organ made form your own flesh will be a miracle for thousands, even millions of people.

(Further addendum - Obsidia)

The first mostly successful Uterus transplant, from a deceased donor to a woman who had a Hysterectomy due to cancer was achieved a few years ago. The uterus functioned properly, and menstruated regularly for about 6 months before an infection set in causing rejection.

Rejection of donated organs is caused by the body not recognizing the tissue as 'self'. Immunosuppressants are typically used to prevent rejection, but runs a greatly increased risk of infection. One way to alleviate that dilemma is thru microchimerism. In microchimerism procedures, tiny tissue samples from the donor are injected under the skin of the recipient months prior to the transplant. With virtually no chance of infection, the immune system slowly gets used to the foreign tissue and starts recognizing it as 'self'. Once confirmed that the foreign tissue is no longer under attack by the immune system, organ transplants from the donor can occur with virtually no risk of rejection, and little to no need for immunosuppressants.

Using microchimerism, MtFs and FtMs could donate reproductive organs to each other. Much research would need to be done on how to perform the procedure, particularly on moving the nerves for best sensation. Donors should preferably also somewhat resemble the recipient, so that any child born to the recipient would look like it's parents.

There is a large disparity in the numbers of MtF and FtM, with MtFs outnumbering FtMs 3 to 1. Due to the requirements of microchimerism, and the limited lifespan of the donated organs outside a living body. Postmortem donors are unlikely. As such, 2/3rds of MtFs would not beable to receive donor organs.

It may be possible that some women who have decided that they wish to no longer have children. May wish to donate their uterus and one ovary (keeping one to regulate their own hormone levels) to MtFs. This could be a possible solution to the disparity between FtM and MtF numbers for transpantation.

Finally, research has shown, that injecting stemcells into a sterilized ovary will cause the stem cells to form into new eggs. Stems cells can be (and often are) artificially created by chemically treating skin cells. Thus MtFs having received donated uterus and ovary(ies) could in theory, carry and give birth to a child that is genetically their own. To my knowledge no similar research has been done on stem cells with testes.

These are each pieces to a puzzle, no one has ever assembled. While each in their own is true as it is stated, they have never been combined. All combinations of the procedures are purely hypothical. Hopefully however, they will not be hypothetical for long.