Contraceptive use and pregnancy intentions among transgender men presenting to a clinic for sex workers and their families in San Francisco

Abstract Purpose Although many transgender men may be able to conceive, their reproductive health needs are understudied. Methods We retrospectively reviewed charts of transgender men presenting to a clinic for sex workers to describe the proportion at risk for pregnancy, pregnancy intentions, and c...

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Bibliographic Details
Published in:Contraception (Stoneham) 2017-02, Vol.95 (2), p.186-189
Main Authors: Cipres, Danielle, Seidman, Dominika, Cloniger, Charles, Nova, Cyd, O'Shea, Anita, Obedin-Maliver, Juno
Format: Article
Language:English
Subjects:
Adult
Condoms
Contraception
Contraception Behavior
Family planning
Family Planning Services
Female
Female-to-male
Humans
Male
Obstetrics and Gynecology
Preconception Care
Pregnancy
Reproductive Health
San Francisco
Sex Workers
Teratogens
Testosterone
Testosterone - administration & dosage
Testosterone - adverse effects
Transgender Persons
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Summary:Abstract Purpose Although many transgender men may be able to conceive, their reproductive health needs are understudied. Methods We retrospectively reviewed charts of transgender men presenting to a clinic for sex workers to describe the proportion at risk for pregnancy, pregnancy intentions, and contraceptive use. Results Of 26 transgender men identified, half were at risk for pregnancy. Most desired to avoid pregnancy but used only condoms or no contraception. Two individuals desired pregnancy, were taking testosterone (a teratogen), and not using contraception. Conclusion Further research is needed to explore how to best provide family planning services including preconception and contraception care to transgender men.
ISSN:0010-7824
1879-0518
1879-0518
DOI:10.1016/j.contraception.2016.09.005