UC Merced

Research on transgender health has expanded significantly within the past decade, yet the topic of transmasculine pregnancy remains underexplored. In this article, we extend the Gender Minority Stress Theory (GMST) to examine how psychosocial stressors faced by transmasculine individuals during pregnancy might influence gestational outcomes through key psychobiological pathways, including the HPA axis, immune, and cardiovascular systems. Specifically, we propose an adapted model that incorporates both proximal (e.g. internalized transphobia, concealment) and distal (e.g. discrimination, institutional exclusion) stressors specific to transmasculine pregnancy by synthesizing evidence that these psychosocial stressors are not only consequential for the mental and physical health of the pregnant person but may also have downstream effects on pregnancy outcomes. We also highlight certain personal and social psychosocial resilience resources that might buffer the impact of stressors on adverse outcomes. This model helps to identify novel pathways for intervention to promote the wellness of both the child and the transmasculine parent.