Being safe from unplanned pregnancies can reduce anxiety or stress connected with sex and make it more enjoyable. HealthQ offers respectful, quality care when it comes to sexual health, and we can help you understand your options as far as birth control for transgenders.
Birth Control for Transgender Patients
BIRTH CONTROL ACROSS THE GENDER SPECTRUM
CAN YOU GET PREGNANT?
If you have a uterus and ovaries, you can get pregnant. This is true even if you take testosterone. Although it may stop your monthly bleeding, testosterone does not keep you from getting pregnant.
CAN YOU GET SOMEONE PREGNANT?
If you have a penis and testes, you can get someone pregnant. This is true even if you take estrogen. Estrogen may lower your sperm count, but it does not keep you from getting someone pregnant.
BIRTH CONTROL FOR PEOPLE TAKING ESTROGEN
People who have a penis and testes and who take estrogen (along with their partners) can choose any birth control method.
Permanent methods are great for people who don’t ever want to get pregnant. These include tubal ligation, Essure, hysterectomy, orchiectomy, and vasectomy.
People who have a uterus and ovaries and who take testosterone can use any birth control method. The progestin pill, implant, IUD, and shot may help decrease monthly bleeding. Some people use one of these methods just to control bleeding, even if they don’t need birth control. Progestin does not interact with testosterone. Methods with estrogen (pill/patch/ring) may counter the effects of testosterone, causing female traits—even so, people taking testosterone can choose a method with estrogen. The copper IUD prevents pregnancy and contains no hormones. Condoms prevent pregnancy and sexually transmitted infections (STIs).
DON’T FORGET ABOUT SEXUALLY TRANSMITTED INFECTIONS!
Condoms can prevent human immunodeficiency virus (HIV) and other STIs. There are two types of condoms, internal and external. Both types help to prevent pregnancy and infections.