Pregnancy is a big trigger for men with autogynephilia to transition because they aren't the centre of attention and the world doesn't revolve around them anymore.

Yes, that's true. But it's also a big trigger for another reason: womb envy. It really sticks in these guy's craw that they can't get pregnant, grow a new human being in their bodies and give birth.

What's more, as Blanchard points out and the social media posts of many TIMs show, many AGPs have specific fetishes about particular female bodily functions and processes, pregnancy and childbirth among them. In the twisted imaginations of these men, being pregnant is the ultimate erotic experience. Lots of women spend the 40 weeks of pregnancy often tired, vomiting and nauseous, with hemorrhoids, back aches, skin rashes, swollen and achy feet, sore breasts, stretch marks, indigestion and insomnia - and feeling fat, ungainly and not particularly attractive. But in the imagination of these men, if they were to become pregnant, they'd spend the 40 weeks of gestating a fetus in a constant state of extreme arousal, looking super hot and sexy and orgasming constantly.