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There is almost no way to disagree with the label "Pregnant Man" without being both obvious and insensitive to the GLBT community. So I'll keep this short; as long as Tom is pregnant she is a woman. Pregnancy is the ultimate female act, one that no one born genetically male can copy. This is the big one, the characteristic that either through surgical methods or choice must be forsaken to be a man. Clearly it would be a difficult decision to make between the couple and I don't blame them. Having biological children (again adoption is always an option) is more to them than preserving Tom's masculine identity. By getting pregnant she choose to stop taking male hormones and undergo the uniquely female process, taking advantage of something that no male to female transgender can experience. So as long as she is pregnant she is flaunting her biological sex in front of every man who feels like a woman and can never be, and every woman who felt like a man and made it permanent. After she has given birth I will call him by the appropriate pronouns until then I won't let her have her cake and eat it too.
