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Can an XY Individual Give Birth?

Published in Reproductive Biology 2 mins read

Yes, an XY individual can potentially give birth under certain circumstances, despite the typical association of the XY chromosome pairing with males.

Understanding the XY Chromosome

Typically, an XY chromosome pairing is associated with male biological sex, while XX is associated with female biological sex. However, there are rare conditions, often referred to as XY dysgenesis or Swyer syndrome, where an individual with XY chromosomes develops female characteristics, including a uterus.

XY Dysgenesis and Pregnancy

According to the provided reference, the presence of the XY genotype and H-Y antigen does not affect normal uterine and endometrial response [4]. This means that individuals with XY dysgenesis can have a functioning uterus that is capable of responding to the hormonal changes associated with pregnancy.

  • Specifically, the study highlights that the uterus of these individuals is physiologically able to accommodate and maintain a successful pregnancy [4].

Conditions for Pregnancy in XY Individuals

While individuals with XY dysgenesis may have a functional uterus, they often do not produce their own eggs.

  • Therefore, pregnancy typically requires in vitro fertilization (IVF) with a donor egg and hormonal support to maintain the pregnancy.
  • The reference clearly states that the ability to maintain a successful pregnancy and delivery confirms the physiological ability of the uterus [4].

In Summary

Feature Typical XY Individual XY Individual with Dysgenesis
Chromosomes XY XY
Usual Biological Sex Male Female
Uterus No Yes
Egg Production No No
Potential for Pregnancy No Yes (with assistance)

In conclusion, while it’s not the typical scenario, an individual with XY chromosomes can give birth, provided they have a functional uterus (as seen in XY dysgenesis) and undergo IVF using a donor egg. The success of pregnancy is not affected by the presence of the XY genotype or the H-Y antigen, as evidenced by the physiological capability of the uterus in these individuals [4].

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