We know that the transgender and nonbinary communities face discrimination in healthcare. At Twentyeight Health, we welcome anyone who needs access to birth control. We’re here to offer education and access for all.
Here are some common questions to help guide you:
Do I need birth control?
Transgender men and nonbinary people assigned female at birth can still become pregnant and may be in need of birth control. Gender-affirming hormone therapy will not prevent pregnancy, and ovulation can still occur even without a regular period.
If you choose to have gender-affirming surgery, you will have to speak with your doctor about whether birth control is necessary.
Transgender women and nonbinary people assigned male at birth who have a penis can use condoms to prevent pregancy if their partner has a uterus. If their partner also has a penis, condoms are still a great option to prevent STIs.
What type of birth control is most appropriate for me?
According to the American College of Obstetricians and Gynecologists (ACOG), transgender and nonbinary folks can choose any method of birth control available to cigender women (if approved by a doctor).
There are many birth control options available to prevent pregnancy, such as birth control pills, the ring, the patch, the IUD, the shot, or the implant. Some of these methods contain a combination of estrogen and progestin, some just progestin, and one specific type of IUD has no hormones at all. Many of these options can help you skip or stop your period if that’s important to you, as well as address other concerns such as cramping, acne, etc. The doctors at Twentyeight will help you choose a birth control that’s medically appropriate and meet your goals. It’s important to keep in mind that none of these options protect against STIs, only condoms can do that.
Does birth control affect my gender-affirming hormone therapy?
Contraception that contains hormones may affect the dose required for the hormonal therapy. Therefore the doctor who provides your hormonal therapy should be made aware that you are on birth control. Being on testosterone is not a contraindication for using birth control that contains estrogen. It is uncommon for the estrogen in birth control to bring on more traditionally “feminine” traits, but if it still concerns you, there are other birth control options that are estrogen-free.
What can I expect from the doctors at Twentyeight?
The doctors provide a supportive, welcoming environment. You can sign up for a phone call if you have specific questions, and message with the doctor for free - anytime! The doctors are able to prescribe birth control, but Twentyeight does not offer gender-affirming hormonal therapy at this time. You may be asked medical questions such as:
If you have any suggestions on how Twentyeight can continue to be more inclusive of transgender & nonbinary reproductive rights, we’d be happy to hear from you! Email us at email@example.com.
Looking for more personalized info? Message a doctor through Twentyeight to get medical advice based on your needs and lifestyle.