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Understanding the Impact of Testosterone on Pregnancy

Published in Transgender Fertility 2 mins read

Can a Girl on Testosterone Get Pregnant?

Yes, a girl or woman taking testosterone can still get pregnant, although it's less likely. While testosterone can suppress ovulation and affect fertility, it doesn't act as birth control. The likelihood of pregnancy is reduced, but the possibility remains.

Several factors influence the chances of pregnancy while on testosterone:

  • Dosage: Higher doses of testosterone are more likely to suppress ovulation, reducing the chance of pregnancy. Lower doses might have a less significant impact. [Source: Trans Fertility: How Does Testosterone Affect Egg Health? - Family Equality]
  • Duration of Treatment: The longer a person has been taking testosterone, the less likely they are to ovulate and conceive. [Source: Even AFAB people who have been on testosterone for a while and who no longer have periods can still get pregnant. In a survey of 41 trans men... - Helloclue]
  • Individual Variation: Every person responds differently to testosterone. Some might experience complete cessation of menstruation and ovulation, while others might have irregular cycles or continue to ovulate.

Important Considerations

  • It is not recommended to get pregnant while taking testosterone. The effect of testosterone on fetal development is not fully understood and could pose risks. [Source: It is possible to get pregnant if you're taking testosterone, but it's not recommended. This is because taking testosterone in pregnancy may affect the baby's... - NHS]
  • Testosterone is not birth control. Reliable contraception is crucial if pregnancy is to be avoided.
  • Consult a healthcare professional. Anyone considering pregnancy while on testosterone should speak to their doctor to discuss the risks and benefits, and to explore safe contraceptive options. [Source: If you are taking testosterone and want to get pregnant, talk to the doctor who is prescribing you testosterone. - NHS]

Practical Implications

Many sources confirm that pregnancy is possible while taking testosterone, regardless of the reduced likelihood. This underscores the importance of utilizing effective birth control methods and consulting medical professionals for personalized advice.

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