Med School Boss Stumbles On ‘Who Gets Pregnant?’

A top California medical school leader told Congress what basic biology and common sense already make clear: transgender men can get pregnant and carry children.

Quick Take

University of California, San Francisco Chancellor Dr. Sam Hawgood answered a House hearing question about pregnancy with that claim.
When pressed, he said, “A transgender person can,” after being asked whether only women can get pregnant.
Published medical research says transgender men may retain the organs needed for pregnancy and can conceive, even after testosterone use.
The exchange became another example of how simple medical facts are turned into political fights.

What Hawgood Told Congress

Dr. Sam Hawgood, the chancellor of the University of California, San Francisco, testified before the House Committee on Education and the Workforce and faced direct questions about pregnancy and sex differences. In the exchange, Rep. Mary Miller asked whether a non-biological woman had ever had a baby. Hawgood answered, “A transgender person can,” and later said that “transgender men” can carry children.

The hearing drew attention because Hawgood leads one of the country’s best-known medical schools. His role gives his answer more weight than a casual comment. UCSF identifies Hawgood as its chancellor and says he has long served as a researcher, professor, and pediatrician. That makes his public hesitation on a basic biological question stand out even more.

What the Research Says

The medical literature does not support the idea that all transgender men are unable to become pregnant. Studies and case reports say many retain a uterus and ovaries, which leaves them capable of gestation. One review says many transgender men keep their female reproductive organs and retain the capacity to have children. Another case report describes a healthy 21-year-old transgender man who became pregnant after stopping testosterone for two months.

Other research makes the same point in plainer language. Planned Parenthood says testosterone is not birth control and that trans men can get pregnant if they have a uterus and ovaries and are ovulating. A PubMed study also states that transgender men can become pregnant through sexual intercourse even during hormone treatment, which is why contraception still matters.

Why the Exchange Set Off Pushback

Supporters of Miller’s question saw Hawgood’s answer as another case of elite institutions bending basic facts to fit gender ideology. The issue matters because medical schools train the next generation of doctors, and public confusion about sex, pregnancy, and fertility can shape policy, education, and care. Recent studies also show that pregnancy outcomes for transgender people can be similar to those of cisgender people, which reinforces that this is a real medical issue, not a talking point.

This highlights the absurdity of top med school leaders evading basic science under pressure from gender ideology.

Rep. Mary Miller questioned UCSF Chancellor Dr. Sam Hawgood and UCLA’s dean. They pivoted to “transgender patients,” “pregnant people,” and “compliance with laws”… https://t.co/neFuQ3MSuJ

— CHP – Christian Heritage Party (@CHPCanada) July 16, 2026

The bigger fight is about language and authority. In practice, the question is not whether every transgender man can get pregnant. Medical sources say many can, while fertility can drop after hormone use or surgery. The fight is over whether schools, hospitals, and government offices are willing to speak clearly about biology, or keep using loaded language that leaves parents and patients with more confusion than answers.