That's true, but there are logical explanations one could make ¯_(ツ)_/¯
For example, male omegas could be a sort of functional intersex phenotype — with male genitalia externally, but a specialized internal reproductive tract for gestation that only opens in heat. Pregnancy would be high-risk and likely require C-sections rather than natural birth because of their pelvis. Their bodies could have adapted hormone cycles to regulate the process safely, like temporary openings, uterine lining reabsorption outside of pregnancy, and controlled receptivity. It’s a way to make it biologically plausible while still keeping the ABO mechanics intact.

I foresee knotting and pregnancy in the future.