The Daily Telegraph

Italian trans man found to be pregnant after mastectomy

- By Nick Squires in Rome

AN Italian who was transition­ing to become a man was discovered to be five months pregnant after undergoing a mastectomy.

The individual, who had assumed the male name Marco, was at an advanced stage of the sex-change process having had his breasts removed.

He had been due to have a hysterecto­my to remove his uterus before the pregnancy was discovered by doctors at a hospital in Rome.

Thought to be the first case of its kind in Italy, the surprise discovery has raised concerns about the welfare of the baby and whether the foetus has been affected by the procedures that Marco has undergone to date.

“Once the pregnancy is discovered, the first thing to do is to immediatel­y suspend the hormone therapy,” said Giulia Senofonte, an endocrinol­ogist and expert on gender therapy. “If the halting of the therapy is not immediate, there could be consequenc­es, especially in the first trimester of pregnancy, which is an important time for the developmen­t of the baby’s organs.

“It’s difficult to talk about in abstract terms but it all depends on the timing of the suspension of the dosages of testostero­ne that the person is taking.”

Doctors are also worried about the impact on Marco, who has begun to exhibit male physical characteri­stics, including additional body hair growth and the ability to grow a beard.

Some experts believe high levels of both male and female hormones in a person’s body can pose a cardiologi­cal risk, heightenin­g the prospect of heart attacks and strokes.

Marco is now expected to go through with the pregnancy.

Under Italian law, an abortion after 90 days is only allowed if the pregnancy seriously endangers the health of the mother or if there are significan­t problems with the foetus.

Marco will be the baby’s biological mother but will be registered legally as its father.

The case makes him a member of a tiny category of people known as “seahorse dads” – transgende­r people who carry babies. The term is derived from the fact that male seahorses carry and give birth to their young.

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