I did meet up with a trans man once at a bar in Seattle, we were talking about the current abortion bill in Texas while getting a little too drunk, who spoke about a very similar issue, because it had happened to him.
He was sexually assaulted by a cis male roommate and ended up pregnant. It had turned out the man who had assaulted him had purposefully been stealing his birth control. He had been celibate and trying to figure out where his meds were going (and suspected someone in the shared-house he had been stealing them for some reason, but assumed it was one of the younger girls who had recently started dating), then he was rapped several times and told to his face that being pregnant would show him that he wasn’t a real man.
He lived in Texas at the time and this occurred numerous decades ago, this was before Robert Eads passed away. There was zero legal protection in place, anywhere on earth, for trans men who needed reproductive care, ovarian care, cervix care, or any other form of “female health care” and no movement, even within the queer community, was talking about the need for those protections.
It was the 80s. Getting an abortion in Texas as a woman was hard then (and is now), and it was impossible as a man. He had to de-transition to get an abortion. And by de-transition I mean the whole nine yards. He had to tell his therapist that he was a cisgender woman in order to get her help with getting an abortion.
He had just barely made it before the “it’s too late to get an abortion” line in the time-frame when he got his.
Not only that, but he had to wait until 1998 to get back on testosterone, because he had to lie and say he wanted to de-transition to get that abortion. The abortion he wouldn’t have been able to get unless he said he was a woman. Knowing that if he didn’t say he wanted to, he would have had to anyway during the period in which he was pregnant and would be forced to give birth, due to the reasons stated above by canadianwheatpirates.
That was over a decade of his life where he was fighting to re-transition, after he was raped and forced to de-transition in order to get an abortion. Over a decade of his life where he was just waiting and pleading for access to medical transition.