Contraception and Menstrual Suppression for Transmasculine Patients

Transmasculine individuals require patient-centered and shared decision-making approaches to address menstrual suppression and contraceptive needs. Gender-affirming testosterone therapy may be utilized by individuals to achieve menstrual suppression but is not a reliable form of contraception. While menstrual suppression and contraception are not mutually exclusive, this article provides a framework to help determine patient goals and points of consideration when selecting treatments. A table (Table 1) and decision tree (Fig. 1) of options are provided to assist clinicians in addressing a patient's unique reproductive needs with a focus on individualized and informed care.