...

So.

I also have tokophobia and have avoided pregnancy as a result. I made sure to choose a partner who didn't want children, I use contraceptives, and while I probably wouldn't have aborted because of it, I might have opted for an elective caesarean.

This is probably the first time I have publicly admitted to it. I wonder if we would benefit from increasing awareness that pregnancy can be scary...and that you don't have to bring a child in the world to prove you aren't scared (how many women do).

Tokophobia only needs to be treated if the person wants kids or if it's affecting their sex life in ways they don't like. Or if the person is *already pregnant* and realizes they're terrified of labor and delivery.

In my case, I don't want kids, my partner doesn't want kids, I've successfully avoided pregnancy. It is FINE to be scared of something that carries a risk of death!

(And in your case a side of gnarly gender dysphoria).