Transmasculine pregnancy-Occurrence, associations, and outcomes: A quantitative systematic review.
Acta Obstet Gynecol ScandJul 8, 2026 (epub)
Catherine Meads, Chelsea Daniels, Shawn Walker et al.
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In 30 seconds
This systematic review analyzed 44 studies on transmasculine pregnancy, revealing that 5.6%-8.5% of transmasculine individuals have been pregnant. The review highlights high miscarriage rates, with 31.6% to 40% reported in several studies, indicating significant reproductive health challenges in this population.
Key findings
- 5.6%-8.5% of transmasculine individuals have experienced pregnancy.
- Miscarriage rates were high, ranging from 31.6% to 40% across studies.
- Postnatal depression rates varied between 15% and 58% in the reviewed studies.
- Conception rates during testosterone use were low, indicating insufficient contraceptive reliability.
Why it matters
Understanding the reproductive health of transmasculine individuals is crucial for providing appropriate care. High miscarriage and postnatal depression rates highlight the need for tailored reproductive services and support.
What to keep in mind
Many included studies were small and uncontrolled, limiting the robustness of the findings.