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- Title
At risk of pregnancy? Contraception for transgender, nonbinary, gender-diverse, and Two Spirit patients: Gender-affirming contraception counseling should consider the patient's reproductive goals; contraceptive options, risks, benefits, and side effects; and potential contributors to gender dysphoria
- Authors
Todd, Nicole J.
- Abstract
Healthy sexual practices should be integrated into gender-affirming health care. People with reproductive potential should be offered counseling on contraception, emergency contraception, abortion, fertility, fertility preservation, and antenatal, intrapartum, and postpartum care. Use of gender-affirming hormones, including testosterone, estrogen, estrogen blockers, progestins, and gonadotropin-releasing hormone agonists, cannot be relied upon for contraception. Patients should be informed that an absence of bleeding does not equate to an absence of ovulation. Many contraceptive options, including combined hormonal contraception (pill, patch, ring) and progestinonly methods (pill, depot medroxyprogesterone acetate), can be provided without the need for an internal examination. Patients should be supported in deciding if intrauterine device placement is conducted in the office or operating room (with procedural sedation, general anesthesia).
- Subjects
CONTRACEPTION; HUMAN sexuality; CONTRACEPTIVES; GONADOTROPIN releasing hormone; FERTILITY preservation; OPERATING room nursing; FAMILY planning services; TRANSGENDER people; NONBINARY people; TWO-spirit people
- Publication
British Columbia Medical Journal, 2022, Vol 64, Issue 2, p69
- ISSN
0007-0556
- Publication type
Article