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One time, I went down a rabbit hole of mpreg biology (?) and basically you can just view men who give birth in mpreg stories as intersex with female insides but a male exterior. Depending on the author, the baby comes out through C-section or the butt. I think I read one where a second hole magically appears during the birth and magically disappears after lol. But if it's a butt birth, it's similar to birds which have a cloaca that has both egg lay and pooping functions.
Ik this is fake, but they're supposed to be humans and men don't have vaginas like women. So does the baby come out the ass or does every uke in mpreg go through c-section...??