Irrespective of the place you’re on the gender spectrum, you may select to make use of contraception if there’s an opportunity you may get pregnant and also you don’t need to.

Not all people who find themselves transgender, nonbinary, or gender expansive select to get gender-affirming care. However some individuals do take hormone remedy as a part of their medical care to assist align their intercourse traits with their gender identification. If you happen to do, remember the fact that gender-affirming hormone remedy isn’t made for contraception, so that you shouldn’t depend on it for that goal. 

Some individuals may additionally think about sure sorts of hormonal contraception for different causes. For instance, gender dysphoriamisery when your gender doesn’t match the intercourse assigned to you at beginning – can worsen when you establish as male however had been assigned feminine at beginning and get your interval. Some contraception choices can reduce or cease your interval.

Contraception is just not designed for any specific gender identification. Something that cisgender individuals may select is out there for everybody. The kind of contraceptive that’s greatest for you depends upon your scenario. 

“If it’s for a affected person with no different threat elements, any possibility is out there,” says Beth Cronin, MD, an obstetrician-gynecologist in Windfall, RI. Issues that will have an effect on your choice embrace your well being, household planning objectives, and what unintended effects you’re keen or in a position to stay with.

Contraceptive counseling will help you resolve which possibility greatest matches your objectives, says Adam Bonnington, MD, an obstetrician-gynecologist in San Francisco. (Contraceptive is one other phrase for contraception.)

 

In case your objective is to keep away from being pregnant, it’s possible you’ll need to think about contraception if:

  • You will have ovaries and a uterus, you haven’t gone by way of menopause, and you’ve got vaginal intercourse with somebody who has testicles and a penis. 
  • You will have testicles and a penis, and you’ve got vaginal intercourse with somebody who has ovaries and a uterus who hasn’t been by way of menopause and doesn’t need to get pregnant.

You and your accomplice might need to talk about what you every need and what the choices are.

Trans males and nonbinary individuals: If you happen to take testosterone remedy (T) to curb female traits and convey out masculine ones, it’ll cease your intervals. Some individuals assume which means they’ll’t get pregnant. However whereas a being pregnant for somebody on this scenario is unlikely, it’s not unimaginable, Cronin says.

“We typically counsel sufferers that in the event that they’re on T and are having that kind of intercourse, they might get pregnant and they need to be utilizing contraception,” she says. 

If you happen to take testosterone as a part of your gender-affirming care, and also you need to get pregnant, you’ll must cease taking it.

Trans ladies and nonbinary individuals: Some trans ladies and nonbinary individuals take estradiol remedy as a feminizing hormone. That remedy received’t work as contraception. Neither will hormonal remedy that curbs masculine traits, as a result of it doesn’t utterly cease sperm manufacturing.

If you happen to haven’t had a vasectomy (when a health care provider cuts and seals the tubes that carry sperm) or orchiectomy (surgical procedure to take away the testicles), and you’ve got vaginal intercourse along with your accomplice, be sure that they use contraception in the event that they don’t need to get pregnant. You can even use a barrier technique, similar to a condom, however condoms don’t work in addition to different types of contraception.

Different sorts of hormonal therapies that aren’t contraception strategies embrace:

  • Cyproterone acetate
  • Finasteride
  • Gonadotropin-releasing hormone (GnRH) analogues

There are a number of sorts of contraception. The kind that’s best for you won’t be proper for another person. 

Issues that may have an effect on your selections embrace:

  • How straightforward it’s to make use of
  • Price
  • Attainable unintended effects
  • Misconceptions you might have about it
  • Issues that make it laborious to get contraception
  • Discrimination or bias
  • Your relationship along with your physician

Speak to your physician if in case you have questions on your choices.

Condoms

Condoms will assist shield you from sexually transmitted ailments (STDs). However to keep away from being pregnant, you must also use one other type of contraception.

If condoms are the one type of contraception you employ – and you employ them completely, each time you might have vaginal intercourse – there’s a few 2% likelihood that you may get pregnant. However most individuals don’t at all times use them accurately, driving up the percentages of getting pregnant to about 13% when you’re not utilizing a second type of contraception. 

IUDs

Intrauterine gadgets (IUDs) are formed like a T. A physician inserts an IUD into your uterus for long-term, extremely efficient contraception. It’s a fast course of, however you’ll need to ensure you’re snug with that.

There are 5 sorts of IUDs accepted within the U.S. 4 of them launch very small quantities of the hormone progestin, which won’t trigger any feminizing results. The fifth kind is a nonhormonal copper intrauterine machine (you may hear these known as Cu-IUDs). 

Uncomfortable side effects can embrace vaginal recognizing (the place there’s solely a bit of little bit of blood) and bleeding. Some individuals additionally get cramps associated to their IUD. However most individuals keep on with the IUDs, in accordance with a 2021 research printed within the Journal of Midwifery and Girls’s Well being. That research was primarily based on a survey of 105 trans males and gender numerous individuals with IUDs who had been assigned feminine at beginning. The IUDs had been “properly tolerated,” the researchers wrote, with few individuals in search of to take away them due to unintended effects. 

Progesterone-only strategies

Progesterone is a hormone that your physique makes. Progestin is an artificial model of it. 

Progesterone-only strategies of contraception embrace some IUDs (levonorgestrel intrauterine methods), implants, pictures, or tablets. Speak to your physician about it first. 

Pictures or IUDs might aid you cease or reduce bleeding out of your vagina. To keep away from bleeding, it’s possible you’ll need to select a way just like the progestin-only implant, IUD, or shot, Bonnington says.

Mixed hormonal contraceptives (CHCs)

Mixed hormonal contraceptives (CHCs) embrace patches, tablets, and the vaginal ring. They comprise estrogen and progestogen. There isn’t sufficient feminizing hormone in these contraceptives to have an effect on testosterone remedy.

If you happen to’ve had high surgical procedure (surgical procedure to take away breast tissue to create a extra masculine chest), medicines with estrogen – similar to contraception tablets, patches, or the ring – may make your breasts really feel tender or sore. “Some individuals notice some bloating and issues like that, nevertheless it’s actually going to rely upon the particular person,” Cronin says.

Extra everlasting choices

There are additionally extra everlasting types of contraception. Both accomplice can get a vasectomy or tubal ligation (surgical procedure to chop, tie, or block the fallopian tubes). Each procedures will assist stop conception.

Many transgender and nonbinary individuals say they’ve been discriminated towards or in any other case not handled respectfully in well being care settings.

Generally one of the best ways to seek out LGBTQ-friendly suppliers is thru phrase of mouth from household or buddies, Cronin says. Native LGBTQ organizations typically have a listing of suppliers they refer individuals to, Bonnington says.

Indicators the supplier is LGBTQ-friendly can embrace:

  • A posted signal with nondiscrimination insurance policies that embrace gender identification and expression protections
  • A ready room with academic brochures, magazines, or posters about transgender well being
  • A rest room labeled for all-gender use
  • Consumption kinds that ask to your right identify, pronouns, gender identification, and intercourse assigned at beginning
  • Suppliers who’ve their pronouns on their identify badges

Nonetheless, he says, these aren’t ensures {that a} supplier or clinic is LGBTQ-friendly.

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