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

E Lazaris; J N Sanders; G Carter; J Olsen; A Gero; L M Gawron

doi:10.1016/j.contraception.2024.110446

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

Contraception. 2024 Apr 5:110446. doi: 10.1016/j.contraception.2024.110446. Online ahead of print.

Authors

E Lazaris¹, J N Sanders², G Carter², J Olsen³, A Gero², L M Gawron²

Affiliations

¹ University of Utah, Department of Obstetrics and Gynecology, 30 North 1900 East, Room 2B200, Salt Lake City, UT 84132-2209. Electronic address: evangelia.lazaris@hsc.utah.edu.
² University of Utah, Department of Obstetrics and Gynecology, 30 North 1900 East, Room 2B200, Salt Lake City, UT 84132-2209.
³ Department of Obstetrics and Gynecology, Duke University Health System, Durham, NC.

PMID: 38583582
DOI: 10.1016/j.contraception.2024.110446

Abstract

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.

Keywords: contraception; contraceptive uptake; gender identity; gender spectrum; gender-expansive.