I had a really happy realization. Even though I haven´t medically transitioned, when I began to work towards it, I was able to fix my beer habit, lose weight, and get fit! So the self-acceptance and and the wish gave me a net positive when it comes to my health anyway.
I´m gonna take the wish of getting a kid and use it similarly. For my health. I can only do so much, but I can lose a bit of midsection chub, avoid sugar, stay reasonable with the caffeine (in Finland it´s not completely banned you just gotta drink less), take my vit D and 400mg of folate, and keep a happy, stress free attitude which knowing myself is NOT GONNA BE EASY but for a kid... I could do it.
Let´s say that my ovaries stay in shape for a natural pregnancy or insemination for two more years. After that, the likelihood of needing IVF increases. The total wall about that it 45. After that, no more treatments. But a lot can happen in a year or two.
Trans treatments after pregnancy are of course still perfectly possible although any surgery will have to wait because I don´t want to die on the table and leave a kid parentless. But fuck it. I can have this. It´s gonna take some patience.