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Can trans feminine people use the contraceptive pill in place of hormone therapy?

This is not advised because the oestrogen hormones in contraceptive pills are in a different form, and at different levels to those used in hormone therapy for trans-females or non-binary people. Importantly, contraceptive pills also do not contain anti-androgens which are used to block the effect of testosterone. Contraceptive pills therefore can’t be used in place of gender-affirming hormone therapy.

If you are taking oestrogen hormone therapy, and have not undergone surgery, you may have reduced fertility, but sperm can still develop in the testicles. So you will need to consider an additional contraceptive method where there is a risk of pregnancy that you want to avoid.

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Dr Gillian Holdsworth headshot

This post was clinically reviewed by:
Dr Gillian Holdsworth Fettle's Managing Director, Medical Doctor and public health expert.

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