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."