Pregnancy in transgender men.

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Date: Aug. 23, 2021
From: CMAJ: Canadian Medical Association Journal(Vol. 193, Issue 33)
Publisher: CMA Impact Inc.
Document Type: Article
Length: 547 words
Lexile Measure: 1860L

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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...

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Gale Document Number: GALE|A672987187