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 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 effects; specifically it can cause abnormal urogenital development in a female fetus. Therefore, testosterone should not be used while attempting conception or during pregnancy.
Kimberley G.S. Thornton、Fiona Mattatall
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Department of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, Calgary
NSTL
