Since the beginning of their relationship, Thomas says Nancy supported his gender transition. "She was fantastic about it," he says.
Over the years, testosterone injections helped Thomas look and sound more masculine. His voice dropped a few octaves, and he began growing facial hair. These hormone treatments also altered his sexual organs. Thomas says his clitoris grew to the size of a small penis. "It looks like a penis," he says. "I can have intercourse with my wife."
In 2002, Thomas opted to have his breasts surgically removed and legally became a man, but he made the conscious decision to keep his female reproductive organs. "I wanted to have a child one day," he says. "I didn't know how. It was just a dream."
Thomas says the desire to have children doesn't make him feel like less of a man. "I have a very stable male gender identity. I see pregnancy as a process, and it doesn't define who I am. It's not a male or female desire to want to have a child...it's a human desire," he says. "I'm a person, and I have the right to have my own biological child."