Brattleboro Ob/Gyn and Four Seasons Midwifery, Brattleboro Memorial Hospital, Brattleboro, Vermont.
Yale School of Nursing, Orange, Connecticut.
J Midwifery Womens Health. 2019 Jul;64(4):395-402. doi: 10.1111/jmwh.12962. Epub 2019 Apr 18.
Contraception and fertility-associated advisement is needed for any individual with a uterus who is engaging in sexual activity with reproductive potential. As greater awareness spreads regarding the health care needs of transgender, nonbinary, and gender-nonconforming individuals, the research on evidence-based care for these populations lags behind. Many clinicians may not be well versed in the best practices to support the sexual and reproductive well-being of individuals who are taking gender-affirming hormone therapy. This article reviews the use of contraception for individuals who are on testosterone gender-affirming hormone therapy. Each contraceptive method is individually considered for the risks and benefits that are unique to this population.
对于任何有子宫且有生殖潜能的进行性行为的个体,都需要进行避孕和生育相关咨询。随着人们对跨性别、非二元性别和性别不一致个体的医疗需求的认识不断提高,针对这些人群的循证护理研究却滞后了。许多临床医生可能并不熟悉支持正在接受性别肯定激素治疗的个体的性和生殖健康的最佳实践。本文回顾了正在接受睾酮性别肯定激素治疗的个体使用避孕措施的情况。对于每种避孕方法,都要单独考虑其对该人群特有的风险和益处。