AI Article Synopsis
- The study explored contraceptive use and discontinuation rates between gender-expansive individuals and cis-women, using survey data from the HER Salt Lake Contraceptive Initiative.
- Out of 4,289 participants, 4% identified as gender-expansive, with the majority engaging in sexual activity with men and opting for long-term contraceptive methods like IUDs or Implants.
- The results showed no significant differences in contraceptive method selection or discontinuation rates between gender-expansive individuals and cis-women, suggesting healthcare providers should feel confident discussing contraceptive options with all patients.
Article Abstract
Objectives: We examined differences in contraceptive uptake and discontinuation between gender-expansive individuals and cis-women in the HER Salt Lake Contraceptive Initiative.
Study Design: We used self-reported survey data to assess associations between gender identity, contraceptive uptake, and discontinuation.
Results: Of participants (n = 4289), 178/4289 (4%) identified as gender-expansive with 157/178 (88%) reporting recent sexual activity with men. Selection of IUD or Implant was most common, with 109/178 (61%) of gender-expansive individuals choosing these options. We observed similar methods selected (p = 0.2) and discontinuation rates at three years between participants (OR: 0.93, p = 0.8).
Conclusion: Gender-expansive individuals had similar method selection and discontinuation rates as cis-women.
Implications: Our finding of no difference in the uptake of contraception between cis-women and gender-expansive individuals should empower providers to openly discuss contraception with patients regardless of gender identity.
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| http://dx.doi.org/10.1016/j.contraception.2024.110446 | DOI Listing |
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