As a transgender or non-binary individual, taking control of your sexual and reproductive health can feel complex. But it doesn’t have to be daunting. Whether you're exploring options for the first time or revisiting them, this guide is here to help you navigate contraception in a way that respects your identity and affirms your needs.

Why language and respect matter

Your healthcare experience should start with respect and inclusion. Using correct terminology and honouring your name and pronouns aren’t just politeness—they’re the foundation for safe, effective care. Here's a quick overview of key terms:

  • Transgender men: Assigned female at birth (AFAB) but identify as men.

  • Transgender women: Assigned male at birth (AMAB) but identify as women.

  • Non-binary people: Don't fit neatly into "man" or "woman" categories and often identify along a spectrum of gender.


When discussing contraception, it's essential to recognise that your needs may not align with traditional assumptions. Don’t hesitate to assert what feels right for you—your voice matters.

For Transgender Men: Understanding your options

If you’re a transgender man with a uterus and ovaries, pregnancy is still possible if you're having penetrative vaginal sex with a sperm-producing partner—even if you're on testosterone. Here's the key: Testosterone is not a contraceptive.

Contraception options that work with testosterone:

Progesterone-only methods (e.g. IUDs, implants, injections, and mini-pills): These methods won’t interfere with testosterone therapy.

  • Low-maintenance options: IUDs or implants—fit it and forget it.

  • Flexible options: Injections or mini-pills, though they require regular attention.

The goal is to find an option that aligns with your lifestyle and comfort. Some methods, like injections or implants, might feel less intrusive if you experience gender dysphoria around contraception. It’s also worth having the conversation around any period preferences at this point too. 

For Transgender Women: Staying protected

If you’re a transgender woman, contraception might not be top of mind, but it's still worth considering. Even if you’re on oestrogen therapy, sperm production might continue at reduced levels.


Contraception options for you:

  • Condoms: A hormone-free option that offers dual protection against pregnancy and STIs without interfering with your gender expression or therapy.

  • Vasectomy: A permanent solution for those seeking long-term contraception.

The right choice is the one that aligns with your goals and comfort level.


For Non-Binary People: Personalised Care for Your Unique Needs

As a non-binary person, your contraception needs depend on your anatomy and your preferences. The most important part of this journey is you. Your care should feel personalised and affirming.

Steps to Find the Right Fit:

Have open conversations with healthcare providers who respect your identity.

Explore options that align with your goals and minimise dysphoria, if that’s a concern.

Remember, you’re the expert on your body and what feels right.

Navigating gender dysphoria and contraception
Gender dysphoria can complicate contraception decisions. For many transgender men, methods like IUDs or pills may feel triggering due to their association with feminine reproductive functions. In these cases, consider methods like:

  • Implants or injections, which can feel less invasive.

  • Barrier methods, like condoms, which avoid direct associations with hormonal changes.

  • Affirming care is about finding what works for you without compromising your mental or emotional well-being.

Prioritising STI Protection

Contraception is just one part of the picture—protecting yourself from sexually transmitted infections (STIs) is equally important.

Condoms: Provide dual protection against pregnancy and STIs.

Regular STI testing: Ensures your sexual health stays on track.

In the UK, you can access free, discreet services at NHS sexual health clinics, often without needing a referral.

Your care, your journey

Contraception is a deeply personal choice, and it’s essential that you feel supported every step of the way. Whether you're exploring options at an NHS clinic or with a trusted GP, you deserve care that respects your identity and priorities.

Finding the right contraception might take time, but you’re never alone. Ask questions, advocate for yourself, and know that the right choice is the one that feels best for you.

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Disclaimer: The information provided on this website is for educational and informational purposes only and is not intended as medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The content is based on personal experience and research, and while we strive for accuracy, it is not guaranteed to be free of errors. Reliance on any information provided on this website is solely at your own risk.