The New York Times has a piece Tuesday headlined, “Adventures in Transgender Fertility,” in which writer Joanne Spataro tries to explain the complications of having a baby “the old-fashioned way” with her trans woman fiancée.

Is it really that complicated, though?

OK, just to give some idea of why it’s “complicated”:

The return of her testosterone hasn’t resulted in just the resurgence of facial hair; her pants now fit differently, too. My own skin has been plagued by acne since I got off the pill six months ago, and my default states are angry, hungry or sleeping. Such are the perils of trying to have a child the way Lara and I are trying, without in vitro fertilization, or cryogenically frozen sperm. The way fertile cisgender people do: They simply couple up, and boom — a child is born.