Paul Farquhar
Legend
The rules don’t say anything about how any sort of reproduction works. Babies could be delivered by storks so far as the rules are concerned.You're inventing fiction that isn't there. It doesn't say that, so it isn't that. For whatever reason you can't or don't want to see what the truth of 5.5e is.
In practical terms, the DM/players decide that stuff for their game, there is no rules based interpretation.