YOUR BIRTH CONTROL CHOICES



Birth Control Across the Gender Spectrum

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 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 infections (STIs).

Birth control for people taking estrogen

People who have a penis and testes and who take estrogen can choose any birth control method.

Permanent Options

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

Don’t forget about sexually transmitted infections!

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

Birth Control Choices Across the Gender Spectrum

|Method |How well does it |How to Use |Pros |Cons |

| |work? | | | |

|The Implant |> 99% |A health care provider places it|It may last up to 5 years. |May cause spotting |

|Nexplanon® | |under the skin of the upper arm.|It often decreases cramps. |It may cause mood changes. |

| | |It must be removed by a health |After 1 year, you may have no | |

|[pic] | |care provider. |monthly bleeding at all. | |

| | | |It may lower the risk of uterine| |

| | | |lining cancer, ovarian cancer, | |

| | | |and polycystic ovary syndrome | |

| | | |(PCOS). | |

|Progestin IUD |> 99% |A health care provider places it|It works for 3 to 7 years, |May cause spotting |

|Liletta®, Mirena®, Skyla®, and | |in the uterus. |depending on which IUD you | |

|others | |It is usually removed by a |choose. | |

| | |health care provider. |It may improve monthly bleeding | |

|[pic] | | |and cramps. | |

| | | |After 1 year, you may have no | |

| | | |monthly bleeding at all. | |

| | | |It may lower the risk of uterine| |

| | | |lining cancer, ovarian cancer, | |

| | | |and polycystic ovary syndrome | |

| | | |(PCOS). | |

|Copper IUD |> 99% |A health care provider places it|May be left in place for up to |May cause spotting (if you are |

|ParaGard® | |in the uterus. |12 years |taking testosterone, this may not|

| | |It is usually removed by a | |be an issue for you). |

|[pic] | |health care provider. | | |

|The Shot |94% |Get a shot every 3 months. |Each shot works for 12 weeks. |It may cause spotting, weight |

|Depo-Provera® | |You can get the shot at a health|It usually decreases monthly |gain, depression, hair or skin |

| | |care office, or you can give |bleeding. |changes, or change in sex drive. |

|[pic] | |yourself the shot. |After 1 year, you may have no |It may cause delay in getting |

| | | |monthly bleeding at all. |pregnant after you stop the |

| | | |It may lower the risk of uterine|shots. |

| | | |lining cancer, ovarian cancer, |Side effects may last up to 6 |

| | | |and polycystic ovary syndrome |months after you stop the shots. |

| | | |(PCOS). | |

|Progestin-Only Pills |91% |You must take the pill at the |It’s easy to use. |It often causes spotting, which |

| | |same time daily. |It may lower the risk of uterine|may last for many months. |

|[pic] Camila, Nor-QD® | | |lining cancer, ovarian cancer, |It may cause depression, hair or |

|Micronor | | |and polycystic ovary syndrome |skin changes, or change in sex |

| | | |(PCOS). |drive. |

|External Condom |82% |Use a new condom each time you |Can buy at many stores |Can decrease sensation |

| | |have sex |Can put on as part of sex |Can cause loss of erection |

| | |Use a polyurethane condom if |play/foreplay |Can break or slip off |

|[pic] | |allergic to latex |Can help prevent early | |

| | | |ejaculation | |

| | | |Can be used for oral, vaginal, | |

| | | |and anal sex | |

|Internal |79% |Use a new condom each time you |Can put in as part of sex |Can decrease sensation |

|Condom | |have sex |play/foreplay |May be noisy |

| | |Use lubrication as needed |Can be used for anal and vaginal|May be hard to insert |

|[pic] | | |sex |May slip out of place during sex |

| | | |May increase pleasure | |

| | | |Good for people with latex | |

| | | |allergy | |

|Withdrawal |78% |Pull penis out of vagina before |Costs nothing |Less pleasure for some |

|Pull-out | |ejaculation (that is, before | |Does not work if penis is not |

| | |coming) | |pulled out in time |

| | | | |Must interrupt sex |

|Diaphragm |88% |Must be used each time you have |Can last several years |Using spermicide may raise the |

|Caya® and Milex® | |sex |Costs very little to use |risk of getting HIV |

| | |Must be used with spermicide |May protect against some |Should not be used with vaginal |

| | | |infections, but not HIV |bleeding or infection |

| | | | |Raises risk of bladder infection |

|Spermicide |72% |Insert spermicide each time you |Can buy at many stores |May raise the risk of getting HIV|

|Cream, gel, sponge, | |have sex |Can insert as part of sex | |

|foam, inserts, film | | |play/foreplay |May irritate vagina, penis |

| | | |Comes in many forms: cream, gel,|Cream, gel, and foam can be messy|

|[pic] | | |sponge, foam, inserts, film | |

|Emergency Contraception Pills |58-94% |Works best the sooner you take |Available at pharmacies, health |May cause stomach upset or nausea|

|Progestin EC (Plan B One-Step®and|Ulipristal acetate EC|it after unprotected sex |centers, or health care |Your next monthly bleeding may |

|others) and ulipristal acetate |works better than |You can take EC up to 5 days |providers: call ahead to see if |come early or late |

|(ella®) |progestin EC if you |after unprotected sex |they have it |May cause spotting |

| |are overweight |If pack contains 2 pills, take |People of any age can get |Ulipristal acetate EC requires a |

|[pic] |Ulipristal acetate EC|both together |progestin EC without a |prescription, and we don’t know |

| |works better than | |prescription, and it doesn’t |whether or not it interacts with |

| |progestin EC in the | |interact with testosterone. |testosterone. |

| |2-5 days after sex | | |May cost a lot |

Remember, these methods do not protect against human immunodeficiency virus (HIV) or other sexually transmitted infections (STIs). Always use condoms to protect yourself!

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