Birth Control Info for Trans & Non-binary People

Birth control can be used by anyone, regardless of gender identity. Finding a method that fits your needs and wants is easier than ever, whether you’re looking for something with or without hormones. 

 Some trans and non-binary folks decide to transition with Hormone Replacement Therapy (HRT). It’s important to note that HRT doesn’t prevent pregnancy. You might experience decreased fertility, but many people still ovulate and produce sperm on HRT. If you want to prevent pregnancy, it’s important to use a contraceptive. 

 HRT might be impacted by certain birth control methods. Some folks opt for hormone-free options like Paragard , condoms, and spermicide. Paragard is a copper IUD that lasts for up to 12 years with little maintenance. It can be removed anytime you want. It can also be used as an emergency contraceptive if inserted within 120 hours after unprotected sex. Condoms are a great idea for everyone, as they’re the only way to prevent both pregnancy and sexually transmitted infections (STIs). If you choose a hormonal method and you’re on HRT, you might need altered dosages. Additionally, there might be methods that aren’t a good fit due to any health conditions you may have. Be sure to discuss your options with a healthcare provider. If you’re concerned about the estrogen in your contraceptives, consider estrogen-free options like the shot, IUD, and implant. Estrogen won’t negatively impact testosterone use, but your comfort is what’s most important. 

 Some folks might feel like using birth control is ‘feminine’, but remember - birth control has more than one purpose! It can help prevent menstruation, acne, and other health concerns. If you’re experiencing tough feelings or dysphoria, talk to your healthcare provider. There are lots of people dedicated to providing affirming, effective care.