As we observe World Contraception Day, it’s essential to recognize that contraception is not just a concern for cisgender people. For many trans men, trans women, and non-binary individuals, access to contraception is a critical aspect of sexual and reproductive health. However, the healthcare system often overlooks or inadequately serves trans people when it comes to contraception. This blog highlights the reasons why trans people need access to contraception and the importance of developing trans-friendly healthcare services. Why Trans People Use Contraception Contraception is relevant to many trans people, regardless of their transition status or identity. For trans men who have sex with cis men, contraception may be necessary to prevent pregnancy, even if they are on testosterone. While testosterone can reduce the likelihood of ovulation, it does not entirely eliminate the possibility of pregnancy. Additionally, some trans men use hormonal contraception to stop menstruation, which can help align their physical experience with their gender identity. For trans women, while pregnancy prevention may not be a direct concern, contraception can still play a significant role. Some trans women in sexual relationships with cis women may use contraceptive pills or other methods to help prevent unintended pregnancies for their female partners. Additionally, trans women may use contraception to protect against sexually transmitted infections (STIs) or to manage hormone levels in ways that complement their gender-affirming treatments. In short, contraception plays a role beyond pregnancy prevention—it is an important part of broader sexual and reproductive health for all trans people.