1 Routine care for transgender men should include discussions of fertility goals
Fertility planning for all transgender men, particularly those with a uterus, should be discussed at regular intervals without assumption of type of sexual activity or fertility goals. (1) For patients aiming for pregnancy, clinicians should discuss both medical and psychosocial expectations from preconception to postpartum. (2,3)
2 Testosterone is not a form of contraception, even in patients who are amenorrheic
Transgender men with a uterus are at risk of unplanned pregnancy. Limited literature suggests similarly high rates of unplanned pregnancies in this population as in ciswomen and similar uptake of all contraceptive options, from barrier methods to hormonal contraceptives. (1) Oral contraceptives may be used concurrently with androgenic hormone therapy.
3 Preconception counselling in transgender men must include discussion around continuation of testosterone therapy
Testosterone has teratogenic...