Birth Control Across the Gender Spectrum


Whether you're cisgender, transgender, gender nonconforming, or somewhere else on the gender spectrum, contraception can be an important way to control fertility, affirm identity, and regulate hormones.


Can you get pregnant?

If you have a uterus and ovaries, you can get pregnant. This is true even if you take testosterone. Although it may stop your monthly bleeding, testosterone does not keep you from getting pregnant.


Can you get someone pregnant?

If you have a penis and testes, you can get someone pregnant. This is true even if you take estrogen. Estrogen may lower your sperm count, but it does not keep you from getting someone pregnant.​

Birth control across the gender spectrum

Birth control for people taking testosterone

There are several birth control options for people who have a uterus and ovaries and who take testosterone. The progestin pill, implant, IUD, and shot may help decrease monthly bleeding. Some people use one of these methods just to control bleeding, even if they don’t need birth control. Progestin does not interact with testosterone. The copper IUD prevents pregnancy and contains no hormones. Condoms prevent pregnancy and sexually transmitted diseases (STDs).


Permanent options

Permanent methods are great for people who don’t ever want to get pregnant or get someone else pregnant. These include tubal ligation, Essure, hysterectomy, orchiectomy, and vasectomy.


Don’t forget about STDs!

Condoms can prevent human immunodeficiency virus (HIV) and other STDs. There are two types of condoms, internal and external. Both types help to prevent pregnancy and infections.

Want to learn more about the latest birth control options? Click here to learn more.


Information adapted from Birth Control Across the Gender Spectrum from RHAP.