Contraceptive uptake among gender-expansive individuals in the HER Salt Lake Contraceptive Initiative.

OBJECTIVES: We examined differences in contraceptive uptake and discontinuation between gender-expansive individuals and cis-women in the HER Salt Lake Contraceptive Initiative.

STUDY DESIGN: We used self-reported survey data to assess associations between gender identity, contraceptive uptake, and discontinuation.

RESULTS: Of participants (n=4,289), 178/4289(4%) identified as gender-expansive with 157/178(88%) reporting recent sexual activity with men. Selection of IUD or Implant was most common, with 109/178(61%) of gender-expansive individuals choosing these options. We observed similar methods selected (p=0.2) and discontinuation rates at three years between participants (OR: 0.93, p=0.8).

CONCLUSION: Gender-expansive individuals had similar method selection and discontinuation rates as cis-women.