Pregnancy Fears, Hopes, and Strategies

Being pregnant is a huge undertaking for your body. It makes permanent changes to lots of areas, includes lots of discomfort and unpleasant experiences, and involves a decent amount of risk. It changes how you are viewed by society and how strangers interact with you. And it is (or can be) the first step in one of the biggest changes anyone can make in life – becoming a parent.

So of course I have all the typical fears:

  • How will my body change?
  • Risk of miscarriage (Ha! That already happened once)
  • Huge life change
  • Adverse symptoms for nine months such as nausea, fatigue, and joint pain
  • Birth trauma
  • Postpartum depression and isolation

Pregnancy is also one of the most feminizing experiences a person can have. So, as a nonbinary person, I also have gender related fears:

  • Will my sense of where my gender is on the spectrum shift in unpredictable ways due to hormones?
  • Will my social dysphoria increase to unbearable levels due to the quintessential feminization of my body?
  • Will my physical dysphoria increase due to my chest getting bigger and my pregnant belly?
  • Will I struggle to find clothes that fit me that are not hyper-feminine like typical maternity clothes are?

But on the other side of my fears is what I hope for:

  • My gender identity will shift to the more feminine side of my range like it does during my period and result in minimal dysphoria with pregnancy changes
  • I will have fewer physical discomfort symptoms than I am expecting
  • Many of my current clothes will fit throughout pregnancy since I prefer looser clothes to begin with (though they will end up being more fitted as I get bigger)

Now that I have actually been pregnant once, for a short time, and only in the first trimester phase before the hyperfeminization of my body happened, some of these fears and hopes have shifted. I now know, or am more confident that my gender will shift to the female side for some or all of my pregnancy. Hopefully this will help with the social and physical dysphoria.

But this caused another area of discomfort: feeling like I was missing half of who I was. And after I had a miscarriage, my gender swung back to the male side with a resurgence of dysphoria that I was now unaccustomed to. You can read more about that in Pregnancy, Miscarriage, and Gender. So I can now add ‘postpartum dysphoria’ to my list of fears.

Here are some strategies I’ve come up with to help me through this process:

  • Look for alternative maternity clothing stores or just buy larger sized clothing from cheaper places
  • Come out to as many people as I am comfortable with so that I have lots of options of people to hang out with in a gender affirming environment to combat social dysphoria and invisibility/inauthenticity
  • Focus on the personal, wondrous, internal feeling of growing a life inside me
  • Be kind to myself post partum while I’m learning how to deal with dysphoria again and review my personal journals and previous blog posts about how I deal with it

If you have a similar identity to mine, I hope that sharing my thoughts and experiences with pregnancy will help you feel more comfortable in your skin or at least not so alone during this experience. If you have someone in your life who is pregnant, maybe this will help you understand that not everyone who looks pregnant identifies as female and what that might feel like.


Do you have any stories of your own or strategies that got you through pregnancy with dysphoria?

Do you have any questions or specific aspects of this experience that you are looking forward to hearing more about?

Leave a comment below! I’d love to hear from you.

Pregnancy, Miscarriage, and Gender

IT WORKED!

We were pregnant! If you missed the story of how we got here, check out Getting Pregnant is Hard to do Without Sperm.

The first thing we felt was excitement. The second was anxiety. Not because suddenly such a big thing was happening, but because we had spent so long stopping ourselves from being excited in order to avoid the pain of disappointment that any excitement we felt triggered anxiety. This reaction slowly wore off and we allowed ourselves to be happy and excited but the more excited we got the more we wanted to share the news. Suddenly, we had a secret again.

I knew I was pregnant before we got the results. I know that’s a cliche but it’s true. My breasts were so sore that I couldn’t touch them, days in advance of when I normally have PMS symptoms. I was fatigued to the point of being in a daze. These symptoms continued and were joined by mild to moderate intermittent nausea. All the typical symptoms but nothing extreme. If you know me at all, you know I can’t keep anything to myself. Especially if it involves distress. I much prefer to complain – I mean, commiserate – about it with others. Luckily, a couple people at work were in their second trimester and gave me a small community for support with this new adventure.

GENDER WHILE PREGNANT

If you’ve read other posts on this blog, you may already know that I am gender fluid, shifting between moderately female and mildly male with the majority of time spent in the neutral space between. But, as I talk about in Menstruation and Gender, I consistently shift towards the female side during my period. The same thing happened when I was pregnant. Except that I wasn’t just pregnant for a few days, like when I’m on my period. So I shifted to female and stayed female for two and a half months.

After about three weeks of being consistently female I started to feel like the male part of myself, Ray, was imagined, a dream, a ghost. I was missing half of myself, unable to experience my full range of gender that I had only just recently struggled to understand and accept. This was a symptom of being pregnant that I couldn’t so easily explain to or commiserate about with others.

EARLY ULTRASOUNDS

Because we were followed by the fertility clinic, we were scheduled for early trans-vaginal ultrasounds. The first one was when I was 7 weeks pregnant. The image on the screen showed a slightly small gestational sack in my uterus but no yolk sack or fetal pole. This was mildly concerning but not conclusive since it was still early and the gestational sack was small. We went back the next week for another one. It showed the same result which was significantly more conclusive of a blighted ovum. With some googling, I learned that this happens when the egg that was fertilized happened to grow without any genetic material inside it. An ’empty egg’.

So, I had to come to terms with the fact that at some point in the next few weeks, when my body figured out something was wrong, I was going to have a miscarriage. I was waiting, and dreading, but not yet able to grief or process because if I did, I would be grieving until it happened, which could be days or weeks or a month. But I had to go to work as usual, travel to visit my family, and stand with my friend in her wedding. So instead, I became emotionally constipated, numb, and burnt out.

While visiting family, I had some spotting and cramping but then it stopped again. When we returned home, we had a final ultrasound that showed the same result and gave an official diagnosis of a non-viable pregnancy. This triggered a referral to the early pregnancy loss clinic. They called me four hours later and reviewed my options. I could let the miscarriage happen naturally (which my body didn’t seem to want to do), take a medication that would induce severe enough cramping to force my body to miscarry (sounds terrifying), or have a procedure (Dilation and Curettage or D&C) where they put me to sleep, dilate my cervix, go in, and scoop everything out. If the first two options didn’t expel everything I may end up needing the D&C anyway. Since I had known this was coming for what felt like an eternity already, I work in a hospital so medical stuff doesn’t bother me, and I had had a polyp removal six months prior via the same procedure, I opted for the D&C. It was scheduled for three days later.

RECOVERING FROM MISCARRIAGE

Both the physical recovery and the emotional recovery took longer than I expected, despite warnings from everyone I talked to who had also had a miscarriage (it is surprisingly common given how little it’s talked about). Physically, I had a few days of mild cramping and fatigue. When these initial symptoms faded out I felt like I was better and returned to work only to find that more than half an hour of being on my feet (I have a fairly active job) caused waves of moderate to severe fatigue, shakiness, dizziness, and hot and cold flashes. My body was in hormonal shock.

The most frustrating part physically was that knowing why it was happening and trying to connect with my body to calm it down did absolutely nothing to help. It felt like my body’s operating system had crashed and was taking forever to reboot. So I started doing really slow, gentle, breathing pace exercises. Anything from dynamic stretching to Qi Gong. Almost instantly, my mind-body connection began to repair itself. It was such a dramatic improvement at a time that I needed it most that I have kept up with these exercises ever since.

Emotionally, I expected to be a wreck as soon as the procedure was done and maybe the day after. But because I had not allowed myself to feel the grief for three weeks I was in an emotional holding pattern. I thought that maybe I had been processing my emotions this whole time and I didn’t need to have a strong, overt reaction. But the exhaustion after the second day back at work meant that I didn’t even have enough energy to hold my emotions back and once I got home I broke down and had a couple hours of intense crying and grieving with my lovely husband for support.

Overall it took just over a month for me to feel like I was back to my normal self.

GENDER WITH MISCARRIAGE

Going through the procedure itself and being in a ‘Women’s Hospital’ didn’t feel dysphoric since I was still feeling very female at the time. A week or so after miscarriage, my gender started shifting slowly back to the middle, then to the male side. And there it stayed for almost three weeks. This felt both good and bad. Good, because I was finally able to experience the other half of myself that had been missing for the last two and a half months. Bad, because all of a sudden I had dysphoria again. And I was out of practice with how to deal with it. While still being very emotionally raw.

Initially, it was very distracting and a constant irritation that sucked up a lot of mental and emotional energy. But I slowly remembered the strategies I had been using before and became acclimatized to the discomfort of dysphoria and it faded to a background buzz.

TALKING ABOUT MISCARRIAGE

Over the last few years both myself and my husband have been through some pretty major experiences that all have different levels of taboo and layperson knowledge/understanding. When I talk about our fertility struggles, very few people have negative reactions to discussing that and it doesn’t feel threatening for me to open up about it and though most people don’t know the variety of options, they have a general understanding that there are medical options and often know someone who has used them. When I talk about gender identity or transitioning, I don’t always know what reaction the other person will have and often have to deal with a negative or ignorant response. Most people have little to no understanding of nonbinary gender identities or the transitioning process to the point that they can’t even relate to whatever it is I’m telling them about unless I explicitly state what emotions are tied to this experience.

When talking about miscarriage, everyone instantly understands that that would be a difficult thing to go through, understands what emotional response is appropriate, and provides support. And yet, it’s still something that isn’t often discussed openly. I’m guessing this is partly because historically, it was viewed as the fault of the woman that it happened and was shameful. But nowadays, I think we’re mostly past that (based on the reactions I get when I talk about it) so I’m guessing it’s not discussed simply because it’s an emotionally difficult thing to talk about and considered a very private experience. I’d like to change the culture of silence around miscarriage and normalize talking about it and then eventually, normalize the idea that people of any gender identity could have a miscarriage.

THE JOURNEY CONTINUES!

At this point, we are still trying to get pregnant. There are a few more options we are willing to try and since the last one worked, I feel like it is likely to work again. But we have also discussed what our limit is in terms of how long we want to try for and how much money we are willing to put towards it. We are not tied to the idea of the child being genetically related to us (seeing as how it won’t be genetically related to Jake anyway) and open to considering adoption if we reach our personal fertility limit.

Subscribe to the blog or keep checking back to get future updates and find out what happens next!


Have you had pregnancy struggled or miscarriage? For those of you who are trans/non-binary, how did pregnancy and/or miscarriage affect your gender? Please leave a comment below. I’d love to hear your experiences.

Menstruation and Gender

Having a menstrual cycle is treated as a very female experience. It is seen as the transition from being a girl to being a woman. It is treated as a symbol of fertility and future motherhood. So it is understandable that people who menstruate but who do not identify as women would struggle a lot with this time of the month.

Menstruation is a huge trigger for dysphoria in a lot of people. For people that menstruate who don’t identify as women, they are going through PMS mood swings and the physical pain of cramps and the inescapable bleeding all while combating feelings that this invalidates their gender identity, that their body is doing things that feel wrong, and that no one would understand how this feels if they ever had the courage to talk about it.

Then there are the women who have never menstruated and never will. They hear other women complaining about their symptoms, having to take birth control pills, or see it represented in media (on the rare occasion). Not having a period and not being able to relate to the experience of having a menstrual cycle can feel invalidating of their identity as a woman.

There are many reasons why a woman may not have a menstrual cycle. And it’s not only women that can menstruate. We need to start separating the things our bodies do and the way our bodies look from gender. Menstruation is something that some bodies do. It does not belong solely to women and it is not necessary in order to be a woman.

Menstruation is something that some bodies do. It does not belong solely to women and it is not necessary in order to be a woman.

I am an AFAB, non-binary, genderfluid person. When it comes to my period, I am one of the lucky ones. Almost every menstrual cycle, my gender shifts in the female direction with the beginning of my period and has a corresponding shift in the male direction as my period ends. This means I have very little dysphoria when it comes to my period. Sure, I still have the fatigue and cramps and grossness but I feel more female than male at the time so it feels in line with my gender. Usually these shifts in my gender are gradual over the course of a couple days but when they happen in the span of a few hours it makes me feel very cranky, out of sorts, and often dysphoric. Maybe this pattern is hormonal, maybe its societal. All I know is that it’s consistent and very helpful.

I figured out this pattern by tracking my gender for a couple months which I describe here. Knowing this pattern has helped me significantly when managing dysphoria. I know to watch for the shift in my gender around the time when my period is supposed to start and then again as it’s ending which allows me to adapt my presentation and dysphoria management strategies more easily.

Not everyone with a fluid gender will have predictable fluctuations in their gender like I do and not everyone will have fluctuations based on a menstrual cycle. My gender fluctuates in less predictable ways during the middle of my cycle.

Regardless of whether someone’s gender fluctuates or not, they do not need to be a woman to menstruate and they do no need to menstruate to be a woman.


What influences your experience of your gender? Do you experience dysphoria related to having or not having a menstrual cycle? Leave a comment below with your experiences!