A 22-year-old woman attends an SRH clinic requesting contraception. She reports she is transgender (assigned male at birth, now identifies as female) ...

Question

A 22-year-old woman attends an SRH clinic requesting contraception. She reports she is transgender (assigned male at birth, now identifies as female) and is taking oestradiol and spironolactone for gender-affirming hormone therapy. She has a prostate and testes. Does she require contraception?

Accepted Answer

No, contraception is not required as she cannot become pregnant but she should be counselled about STI prevention

Answer

Yes, she requires contraception to prevent pregnancy

Answer

She requires a Cu-IUD

Answer

She needs emergency contraception

Answer

Spironolactone provides contraceptive cover

uk-dfsrh MCQ (SBA): Contraception Transgender Woman

A 22-year-old woman attends an SRH clinic requesting contraception. She reports she is transgender (assigned male at birth, now identifies as female) and is taking oestradiol and spironolactone for gender-affirming hormone therapy. She has a prostate and testes. Does she require contraception?