Beyond Women’s Health

P regnancy—as well as contraception, abortion, prenatal care, birth, postpartum care, chestfeeding or breastfeeding, and childrearing—are often presented as experiences of cisgender women. Cisgender is a term that describes a person whose current gender identity is consistent with the gender identity generally assumed for the sex they were designated or assigned at birth, which is typically based on external genitalia. For example, a cisgender woman is a person who identifies as a woman and was assigned female sex at birth (ie, the sex listed on their birth certificate). Yet, people of many genders—women, men, genderqueer, nonbinary, and more—can and do carry pregnancies.1,2 We, the authors of this commentary, are sexual and reproductive health advocates, counselors, health-care providers, and researchers with a range of identities, including those who are transgender and gender nonbinary. Transgender is an umbrella term for people whose gender identity differs from the gender identity generally assumed for the sex they were From Ibis Reproductive Health, Oakland, California; the Guttmacher Institute, New York, New York; the Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, Vermont; the Planned Parenthood League of Massachusetts, Boston, Massachusetts; the Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California; Lyndon Cudlitz Consulting, Education & Training, Albany, New York; the Community Advisory Team, Malden, Massachusetts; the University of New Mexico, Albuquerque, New Mexico; Edgewood College, Madison, Wisconsin; and the Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

[1]  Jocelyn A. Frelier,et al.  Transforming Family , 2022 .

[2]  L. Voutsos Providing Patient-Centered Perinatal Care for Transgender Men and Gender-Diverse Individuals: A Collaborative Multidisciplinary Team Approach. , 2020, Obstetrics and gynecology.

[3]  F. Grimstad,et al.  Contraception Across the Transmasculine Spectrum. , 2020, American journal of obstetrics and gynecology.

[4]  M. Andrasik,et al.  Misclassification of Sex Assigned at Birth in the Behavioral Risk Factor Surveillance System and Transgender Reproductive Health: A Quantitative Bias Analysis. , 2019, Epidemiology.

[5]  J. Obedin-Maliver,et al.  Opening the ob/gyn door for sexual and gender minority patients , 2019 .

[6]  J. Twisk,et al.  Bone Safety During the First Ten Years of Gender‐Affirming Hormonal Treatment in Transwomen and Transmen , 2018, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[7]  Virginia Sanders,et al.  A New and Inclusive Intake Form for Diagnostic Imaging Departments. , 2018, Journal of medical imaging and radiation sciences.

[8]  D. Stroumsa,et al.  Welcoming transgender and nonbinary patients: expanding the language of "women's health". , 2018, American journal of obstetrics and gynecology.

[9]  S. Wilkinson,et al.  Uterine transplantation in transgender women , 2018, BJOG : an international journal of obstetrics and gynaecology.

[10]  S. Morrison,et al.  Transgender health care: improving medical students’ and residents’ training and awareness , 2018, Advances in medical education and practice.

[11]  David A. Klein,et al.  Providing quality family planning services to LGBTQIA individuals: a systematic review. , 2018, Contraception.

[12]  Jennifer J. Liang,et al.  EXOGENOUS TESTOSTERONE DOES NOT INDUCE OR EXACERBATE THE METABOLIC FEATURES ASSOCIATED WITH PCOS AMONG TRANSGENDER MEN. , 2018, Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists.

[13]  J. Obedin-Maliver,et al.  From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers , 2017, BMC Pregnancy and Childbirth.

[14]  A. Agardh,et al.  Self-Reported Discrimination in Health-Care Settings Based on Recognizability as Transgender: A Cross-Sectional Study Among Transgender U.S. Citizens , 2017, Archives of sexual behavior.

[15]  K. Braeckmans,et al.  Ovarian tissue cryopreservation in female-to-male transgender people: insights into ovarian histology and physiology after prolonged androgen treatment. , 2017, Reproductive biomedicine online.

[16]  A. Fox,et al.  What Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Patients Say Doctors Should Know and Do: A Qualitative Study , 2017, Journal of homosexuality.

[17]  Nils Melzer,et al.  Report of the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment, Juan E. Méndez , 2015 .

[18]  W. Mcfarland,et al.  Testosterone and sexual risk among transmen: a mixed methods exploratory study , 2017, Culture, health & sexuality.

[19]  E. Meerwijk,et al.  Transgender Population Size in the United States: a Meta-Regression of Population-Based Probability Samples. , 2017, American journal of public health.

[20]  H. Delemarre-van de Waal,et al.  Efficacy and Safety of Gonadotropin-Releasing Hormone Agonist Treatment to Suppress Puberty in Gender Dysphoric Adolescents. , 2016, The journal of sexual medicine.

[21]  J. Keatley,et al.  ‘I am not a man’: Trans-specific barriers and facilitators to PrEP acceptability among transgender women , 2016, Global public health.

[22]  S. Reisner,et al.  The Time Is Now: Attention Increases to Transgender Health in the United States but Scientific Knowledge Gaps Remain. , 2015, LGBT health.

[23]  Lucinda B. Leung,et al.  Finding the perfect doctor: identifying lesbian, gay, bisexual, and transgender-competent physicians. , 2015, American journal of public health.

[24]  J. Obedin-Maliver Time for OBGYNs to care for people of all genders. , 2015, Journal of women's health.

[25]  C. Unger Care of the transgender patient: a survey of gynecologists' current knowledge and practice. , 2015, Journal of women's health.

[26]  Juno Obedin-Maliver,et al.  Transgender Men Who Experienced Pregnancy After Female-to-Male Gender Transitioning , 2014, Obstetrics and gynecology.

[27]  S. Reisner,et al.  A mixed methods study of the sexual health needs of New England transmen who have sex with nontransgender men. , 2010, AIDS patient care and STDs.

[28]  R. Fanchin,et al.  Histology of genital tract and breast tissue after long-term testosterone administration in a female-to-male transsexual population. , 2010, Reproductive biomedicine online.

[29]  J. Sevelius “There's No Pamphlet for the Kind of Sex I Have”: HIV‐Related Risk Factors and Protective Behaviors Among Transgender Men Who Have Sex With Nontransgender Men , 2009, The Journal of the Association of Nurses in AIDS Care : JANAC.

[30]  Susan R Rankin,et al.  The Report of the 2015 U.S. Transgender Survey , 2016 .