Sexual health for trans and non-binary people

Trans and non-binary people deserve sexual-health care that fits their bodies and identities. This guide covers the basics; it isn't a substitute for an affirming clinician.

Screening follows your organs

• Anyone with a cervix needs cervical screening — including trans men and some non-binary people.
• Anyone with a prostate may need prostate checks later in life — including trans women.
• Breast or chest tissue may need screening depending on history and hormones.

Hormones and contraception

Testosterone does not reliably prevent pregnancy. If you have a uterus and ovaries and have sex that could lead to pregnancy, you may still need contraception — many methods are compatible with gender-affirming hormones. Estrogen and anti-androgens can reduce sperm production but aren't contraception either.

STIs and HIV

PrEP works for trans people and doesn't interfere with gender-affirming hormones. Test the sites you use. After genital surgery, ask your surgical team which tests are appropriate for your anatomy.

Dysphoria and intimacy

Dysphoria can make some kinds of touch or some words feel bad. It's fine to set boundaries, use your own words for your body, and change them. A good partner will ask, not assume.

Finding affirming care

1. Look for clinics that list LGBTQ+ or trans care, or follow WPATH guidelines.
2. Ask how they record names and pronouns.
3. Bring a friend if it helps.
4. You can ask for a different clinician if you feel disrespected.