A teen born with male genitalia and raised as a boy has become pregnant after finding out last year that she also has working ovaries, a uterus, cervix and fallopian tubes.
Mikey Chanel, 18, was raised as a boy, but always felt 'he' was different from his male peers.
In fact, tests done on Mikey as a foetus in his mother's womb revealed him to be a girl, so his family and doctors were surprised when he was born with male genitalia.
"It was obvious to everyone that I was different right from the start," said Mikey, who lives in Boston, Massachusetts and worked as an events coordinator before the pandemic.
"At age five I'd be playing with my aunt's purses and putting on my mom's lipstick.
"I never felt like a boy. I was quite effeminate and I never really went through a whole 'boy puberty' thing.
"I only have a tiny bit of facial hair. I've always had a feminine-shaped body, with hips and a butt.
"I got bullied at school, everyone told me I was a faggot, a tranny, since third grade, before I even knew what it meant really."
Mikey came out as gay aged 13, and later wondered if he might be transgender.
The truth was only revealed by accident last year when Mikey was undergoing some routine tests at the doctors.
"I had been having a weird feeling after peeing and after sex, so they did an ultrasound of my urinary tract," said Mikey.
"They told me that I had a cervix, ovaries, uterus and fallopian tubes and that I could get pregnant if I wanted to.
"I actually thought it was a joke. I didn't even know this was possible. I was like 'haha where are the cameras'? Then they showed me my uterus on the screen."
Mikey was diagnosed with Persistent Müllerian duct syndrome (PMDS), a rare condition in which a person has male external genitals, with female reproductive organs internally.
Doctors advised Mikey to have an immediate hysterectomy.
Mikey added: "People with PDMS are susceptible to cancer and tumors and the risk is lessened if you have a hysterectomy.
"My male parts came back infertile but I was told that my ovaries were functioning.
"I was in a state of shock for a couple of weeks then I realized that I wouldn't be able to have a child unless I carried it myself, and soon.
"I always knew I wanted to be a parent, I used to play with baby dolls when I was little and I've always seen kids in my future, so I decided, 'it's now or never I have to try and get pregnant.'"
Mikey then underwent a series of fertility procedures including ICSI and in which donor sperm is injected directly into a woman's egg to create a fertilized embryo.
During a laparoscopic procedure called ZIFT embryos were placed in the fallopian tubes.
Because Mikey does not have a vaginal opening three fertilized embryos were implanted into her fallopian tube via an abdominal cavity.
"I was told there was only about a 20 percent chance it would work, but it worked, and i was so shocked but happy" said Mikey, who is now four months pregnant.
"I can't wait to be a parent," she added.
"My parents weren't around much when I was a kid, so I want to be the parent that my parents couldn't be, I really want to be there for my child.
"I want to be there for everything from the first step to the first word to them graduating from college, I want to be supportive in everything and anything they chose in life."
Mikey has been prescribed estrogen to help with the pregnancy and she hopes to continue to transition further after the baby is born.
"I feel more like a woman now than ever," she said.
Mikey is speaking out about her experiences to raise awareness of PMDS and help people understand that it is a normal medical condition that could happen to anyone at birth.
She also wants to break social stigmas related to gender nonconformity.
"Nobody really speaks about this, most people have never even heard of it," she said.
"There isn't a lot of research about it and there aren't a lot of tests, often it's found accidentally, like in my case.
"I feel like there should be more research, I'm just trying to educate people about it. Once people understand it could break a really big stigma with gender and within LGBT communities."