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If I’ve vaginal intercourse with a trans man (FTM) do I’ve to fret about him getting pregnant or do all of the hormones he takes stop him from getting pregnant?

If I’ve vaginal intercourse with a trans man (FTM) do I’ve to fret about him getting pregnant or do all of the hormones he takes stop him from getting pregnant?


doctor talking to patientThanks on your query. It’s necessary to know there’s a threat of being pregnant with vaginal intercourse. Individuals assigned feminine at beginning (AFAB) on gender affirming hormones can nonetheless get pregnant from vaginal intercourse. Individuals assigned male at beginning (AMAB) on gender affirming hormones can nonetheless get their companion pregnant from vaginal intercourse. Principally, in case you are having vaginal intercourse and don’t wish to get pregnant it’s a good suggestion to make use of a type of contraception, or contraception.

Gender Affirming Therapies

In line with the World Well being Group gender-affirming well being care can embody social, psychological, behavioral or medical (hormones or surgical procedure) care that helps an individual’s gender id.

There are totally different sorts of hormones folks might use as a part of gender-affirming therapy.

– Puberty Blockers

  • Puberty blockers assist stop development by puberty. They’re reversible, which implies if they’re stopped an individual will begin going by puberty once more.

– Hormone Remedy

  • Estrogen or testosterone can be utilized to assist develop intercourse traits that align with an individual’s gender id.

Hormone Remedy and Fertility

The usage of estrogen or testosterone as a part of gender-affirming therapy might decrease an individual’s capacity to get pregnant (or get their companion pregnant). Nevertheless, their use doesn’t decrease the being pregnant threat to zero. If a being pregnant is just not desired then you need to think about using a type of contraception.

Easy methods to Forestall a Being pregnant

Abstinence is the one 100% strategy to stop being pregnant. If you happen to resolve to have vaginal intercourse there are various methods to assist stop being pregnant.

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– Strategies for folks assigned male at beginning (AMAB):

  • Condoms
  • Sterilization (that is everlasting)

– Strategies for folks assigned feminine at beginning (AFAB):

  • Barrier strategies: inside condom, spermicides, cervical cap, contraceptive sponge, and diaphragm
  • Hormonal strategies: implant (within the arm), injectable shot, intrauterine gadget (IUD), drugs, patch, vaginal ring, and emergency contraception
  • Different strategies: non-hormonal intrauterine gadget, sterilization, fertility consciousness methodology

Individuals AFAB on gender-affirming hormones can nonetheless use contraception. It’s necessary to talk with a healthcare supplier in order that they may also help them select the best choice for them.

And bear in mind, condoms and dental dams are the one means to assist stop sexually transmitted infections from sexual contact.


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