That's something of a good sign though, you know?
When I asked my therapist how she knew I was trans and not gay, she stopped, looked at me and said, "Let's go over the evidence. You've considered genital self-harm. You dream of being a bride, a wife, wanting to get pregnant, to carry a child, to give birth, to nurse a child. Gay men don't feel that way. They love their penis. They enjoy being men. You're not gay; you're trans." So I guess it's a healthy (but obviously not required) sign of being trans if you want to conceive, carry a child, give birth, and nurse it. 🙂