Myles and Precious, a communications manager for the Sierra Club, met in 2014, started dating a year later and got married in 2016. To have biological children, they had to go off their gender-reinforcing hormones, which was difficult for both of them. An egg from Myles’ body was fertilized with sperm from Precious and implanted in Myles’ uterus via IVF. Myles is one of maybe a few thousand transgender men worldwide who have gotten pregnant.