Trans men who have not had a hysterectomy can continue to get pregnant.
A lot of guys believe that testosterone hormone therapies act as a contraceptive, meaning that they aren’t able to get pregnant, but that is not the case.
There are a range of contraception options for trans men, including condoms, which can prevent pregnancy and you can find out more here. If you have had unprotected sex, or believe that your contraception may have failed (e.g. split condom), you can access emergency contraception. In Scotland you can access emergency contraception via pharmacies, sexual health clinics, your GP and in some cases (such as after HIV exposure) in Accident and Emergency.
Trans men who have been taking testosterone are able to carry a baby to term, and you can discuss your individual circumstances with a clinician.
You should not be pressured into having an abortion simply because you use, or have previously used testosterone. However, testosterone can seriously affect the development of an embryo/foetus, and you would need to stop taking testosterone immediately to continue your pregnancy.
If you’ve decided to continue your pregnancy, your GP will be able to help put you in touch with specialist support. Primarily this will be through regular appointments with midwives who will monitor your health and the health of your baby.
NHS inform has produced information where you can find out more about every stage of pregnancy. However, before clicking through, please note that the resource, while very useful, may contain language and imagery that you may find triggering or dysphoria inducing.
Trans men and abortion
If you have become pregnant and decide that you want to end your pregnancy, you are able to access abortion services. Abortions in Scotland are free on the NHS.
It is legal in Scotland to get an abortion up to 24 weeks of pregnancy, though in practice, the vast majority (98%) take place before 20 weeks.
You can access an abortion between weeks 20 and 24, but this is rare and tends to be for exceptional circumstances.
You can access abortions via
In the first 10 weeks of pregnancy you access a medical abortion, which uses medication to bring on a miscarriage. As part of this you would generally not require an overnight stay in hospital.
After 10 weeks, you can access a surgical abortion which you would be under sedation or a general anesthetic.
Trans men and miscarriage
Miscarrying a pregnancy can be an emotional experience for anyone, including trans people.
Regardless of whether a pregnancy was planned, or even if you didn’t know about it, you may experience a wide range of emotions following a miscarriage.
It’s OK to be upset, or to feel nothing, or to feel relief – it’s a unique experience for anyone. Here at SX we can offer emotional support if you’re struggling to come to terms with a miscarriage, and understand the lack of resources available for miscarriage support.