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Can you get pregnant if you are on testosterone and don’t have a period?

If you are trans male or non-binary, and taking testosterone therapy, this may decrease your fertility but it doesn’t provide adequate contraceptive protection, so you will need to consider additional contraceptive methods in order to prevent pregnancy. There is still a risk of pregnancy, even if your periods are irregular or you are not having periods.

Methods you might want to consider include progestogen-only contraceptives, such as the POP pill, injection or implant, or a hormonal or non-hormonal coil.

It’s important to be aware that there are risks to the baby if someone taking testosterone were to become pregnant.

For more info visit: https://www.fsrh.org/standards-and-guidance/documents/fsrh-ceu-statement-contraceptive-choices-and-sexual-health-for/

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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