She Strengthens

The Surprising Effects of Birth Control on Men

When we think of birth control, we often assume it’s a women’s issue. However, men can also take hormonal birth control, and its effects vary greatly depending on their reproductive anatomy and gender identity.

For Trans Men, Birth Control Can Be a Lifesaver

Some trans men opt out of bottom surgery, which means they still have ovaries, a uterus, and a vagina. In this case, taking birth control can help manage monthly periods and prevent pregnancy. Even trans men on hormone therapy, which involves doses of testosterone, may still need birth control to prevent pregnancy.

The Risks for Cis Men

For cis men who don’t have ovaries, a uterus, or a vagina, taking birth control pills can have unintended consequences. If taken consistently, the estrogen intake can lower sex drive, reduce fertility, and even cause breast tissue growth.

Debunking Pregnancy Myths

Myth: Men can’t get pregnant because they don’t have uteruses. Fact: Trans men, who were assigned female at birth, are men with uteruses, ovaries, and a vagina. Myth: Testosterone hormone therapy prevents pregnancy. Fact: Testosterone reduces the risk of pregnancy but doesn’t eliminate it.

Birth Control Options for All

Whether you’re cis, trans, or nonbinary, there are various birth control options available. These include hormonal birth control pills, hormonal implants, IUDs, sponges with spermicide, hormonal injections, and condoms. It’s essential to discuss your birth control options with a doctor to find the best combination for your body.

Managing Hormone-Related Conditions

Birth control pills can help alleviate hormone-related issues such as PMS, period breakouts, and irregular flows. For trans men, getting a monthly period can trigger gender dysphoria. Birth control can help stop periods completely or reduce their frequency.

Side Effects to Consider

Common birth control side effects include changes in sex drive, bloating or weight gain, and nausea. If you have high blood pressure, birth control pills containing estrogen can increase blood pressure or make it harder to control.

Finding an LGBTQ-Friendly Doctor

Talking to a doctor about gender dysphoria can be daunting. To find a supportive and knowledgeable healthcare provider, contact local trans-specific organizations, ask for referrals, or join online forums for trans individuals in your area.

The Bottom Line

Anyone assigned female at birth can take birth control pills for contraception or to manage hormonal issues. Transgender men taking testosterone can still take birth control pills. People assigned male at birth shouldn’t take hormonal birth control pills meant for people with uteruses. Hormonal birth control is not an effective method of “feminization.” Talk to your doctor about any concerns regarding birth control or hormone therapy.