So this is a woman, with a few minor alterations, who is calling herself a man? And she has an estranged wife? When did she get this wife? When she was still a woman? Or after she underwent some surgery and called herself a man? Who impregnated her? If she got the wife before the surgery, then she was also a lesbian? This is even more confusing than it first appears. It certainly cements the mental illness diagnosis.
It’s a woman, she had her chest butchered to resemble a man, but she still has the full female reproductive system. She got pregnant due to an artificial insemination.