Contraceptive use and pregnancy intentions among transgender men presenting to a clinic for sex workers and their families in San Francisco.
OBJECTIVE
Although many transgender men may be able to conceive, their reproductive health needs are understudied.


METHODS
We retrospectively reviewed charts of transgender men presenting to a clinic for sex workers to describe the proportion at risk for pregnancy, pregnancy intentions, and contraceptive use.


RESULTS
Of 26 transgender men identified, half were at risk for pregnancy. Most desired to avoid pregnancy but used only condoms or no contraception. Two individuals desired pregnancy, were taking testosterone (a teratogen), and not using contraception.


CONCLUSIONS
Further research is needed to explore how to best provide family planning services including preconception and contraception care to transgender men.
University of California, San Francisco, School of Medicine, 513 Parnassus Avenue, San Francisco, CA, USA, 94143-0410. Electronic address: Danielle.cipres@ucsf.edu.
Danielle
D
Cipres
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, USA, 94158. Electronic address: Dominika.seidman@ucsf.edu.
Dominika
D
Seidman
University of California, San Francisco, Department of Social and Behavioral Sciences, 3333 California Street, San Francisco, CA, USA, 94118; San Francisco Department of Public Health, Population Health Division, 25 Van Ness Avenue, Suite 500, San Francisco, CA, USA, 94102; St. James Infirmary, 234 Eddy Street, San Francisco, CA, USA, 94102. Electronic address: Chuck.sjimedical@yahoo.com.
Charles
C
Cloniger
St. James Infirmary, 234 Eddy Street, San Francisco, CA, USA, 94102. Electronic address: Registration@stjamesinfirmary.org.
Cyd
C
Nova
St. James Infirmary, 234 Eddy Street, San Francisco, CA, USA, 94102.
Anita
A
O'Shea
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, USA, 94158; Department of Medicine, Division of General Internal Medicine, San Francisco Veterans Affairs Medical Center, 4150 Clement Street, Building 18, Room 111A1, San Francisco, CA, USA, 94121. Electronic address: Juno.obedin-maliver@ucsf.edu.
Juno
J
Obedin-Maliver
D000328:Adult; D017280:Condoms; D003267:Contraception; D003268:Contraception Behavior; D005193:Family Planning Services; D005260:Female; D006801:Humans; D008297:Male; D016742:Preconception Care; D011247:Pregnancy; D060728:Reproductive Health; D012495:San Francisco; D060386:Sex Workers; D013723:Teratogens; D013739:Testosterone / Q000008:administration & dosage / Q000009:adverse effects; D063106:Transgender Persons
D013723:Teratogens; D013739:Testosterone
Contraception; Family planning; Female-to-male; Reproductive health; Testosterone; Transgender