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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?


doctor talking to patientThanks to your query. It’s necessary to know there’s a danger of being pregnant with vaginal intercourse. Folks assigned feminine at start (AFAB) on gender affirming hormones can nonetheless get pregnant from vaginal intercourse. Folks assigned male at start (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 Remedies

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

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

– Puberty Blockers

  • Puberty blockers assist stop development by means of puberty. They’re reversible, which implies if they’re stopped an individual will begin going by means of 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 could decrease an individual’s potential to get pregnant (or get their companion pregnant). Nonetheless, their use doesn’t decrease the being pregnant danger to zero. If a being pregnant just isn’t desired then you need to think about using a type of contraception.

The best way to Forestall a Being pregnant

Abstinence is the one 100% method to stop being pregnant. For those who resolve to have vaginal intercourse there are various methods to assist stop being pregnant.

– Strategies for individuals assigned male at start (AMAB):

  • Condoms
  • Sterilization (that is everlasting)

– Strategies for individuals assigned feminine at start (AFAB):

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

Folks AFAB on gender-affirming hormones can nonetheless use contraception. It’s necessary to talk with a healthcare supplier in order that they can assist them select the most suitable choice for them.

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

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