Pregnant man Thomas Beattie - the transgender man born a woman - has given birth to his second child, this time a baby boy.
The American transsexual, born Tracey Lagondino, 35, became the first pregnant man when he had Susan last July.
Now bearded Beatie and wife Nancy, 46, are parents again.
Hospital sources told US TV channel ABC that it was a "natural childbirth".
Beattie had sex swap op, including breast removal, in his 20s then married Nancy - but kept his ovaries.