Hey Pandora,
I am a 37 year old post-op (top only at this time) FTM or transsexual male and my questions is, can FTMs become pregnant while on Testosterone? I have been on T for almost two years now and recently I did something that I never thought I would do. I had a one time fling with a man and the condom literally broke (I kid you not) and he accidentally came inside me and now I am REALLY worried. He tells me that he did have Vasectomy 10 years ago and he does have a scar to prove it and I did check out the details to see if what he knew about Vasectomies was accurate and it was; and so I’m hoping he’s telling the truth but…
I identify as a straight man, but had been bi curious for a while and so I took a chance, but now I’m worried that I’ve sealed my own fate. Can you PLEASE help? I have not had a hysterectomy yet and so I am REALLY nervous here. I have been searching online for any info on FTMs and pregnancy after T and have had NO luck. I would appreciate ANY help here. Thanks again. Peace and light.
Name Withheld
Hi,
Mistress Krista and I chatted about this. Testosterone in the doses that you are taking should completely inhibit ovulation, so there should be no chance of getting pregnant. The Mistress pointed out though that there is always a possibility of it happening if testosterone hasn’t really inhibited the cycle that includes ovulation, but that chance is very slim. Given that your partner had a vasectomy, I think that your chances of not being pregnant are probably even better than they would be if you had just been using a condom.
Hope this helps!
Pandora
More recent articles of interest:
- Transgender Men Who Become Pregnant Face Social, Health Challenges – Nov 7, 2014
- STUDY: Yes, Trans Men Can Get Pregnant Despite Testosterone, Dysphoria – Nov 10, 2014
Also see: Birthing and Breast or Chestfeeding Trans People and Allies Facebook Group
This group is intended for sharing information and experiences about pregnancy, birth and nursing amongst trans and genderfluid/gender neutral people anywhere on the gender spectrum, at any point in transition (or pre-transition). It is also for allies, especially health care providers, who want to support our community. We all share an interest in supporting trans people who are birthing and/or nursing our babies.
I’ve been on t for several yrs. I recently started my monthly again. Curiosity gets me on this on. But wondering if I can get pregnant and of I do, should I hold off on the T.
TJay, have you had your T levels checked recently? Your dosage may need adjustment. With the presence of a monthly cycle there’s the possibility of getting pregnant, and T should be stopped if one does get pregnant.
How much T does it take to wipe out the ovulation thing?
JJ, unfortunately that varies really widely and is not easy to pin down. It depends on the person and T dosage.
After nearly 2 years of testosterone gel, I switched to weekly injections. Shortly after this, I had 4 monthly cycles in a row. I go to a great clinic in Chicago that specializes in trans health, and my nurse practitioner put me on progesterone for one month, in addition to my regular injections. She said the progesterone would stabilize my uterus without affecting the testosterone. I took three tablets a day for the first week, and followed with one a day until finished. I haven’t had a cycle since then, and it’s been at least two years. I recently switched back to gel daily because I’m prone to blood clots. No problems! But I’m also suddenly attracted to men and really want to have sex with a man, and maybe this is tmi, but I want to feel what it’s like to have a man ejaculate inside of me, but don’t want to risk pregnancy. It’s hard to find consistent info on this.
Hey Everybody –
I’m sorry, but as a trans* midwife and sexuality educator in sex-positive community, I really need to add a few comments here:
1) OP didn’t post dosage taken, HOWEVER, regardless of whether a monthly cycle is present, there is ALWAYS the possibility of “escape ovulation”. Absence of a “period” does not indicate absence of risk.
As the editors mentioned, the dose necessary to suppress monthly cycle can vary in each guy. NOTE: Too much testosterone converts to estrogen, so it’s not a matter of getting the highest dose, but rather finding the RIGHT dose for each person.
And as also previously mentioned by the editors: In the case of unplanned pregnancy, T should be stopped immediately and a healthcare provider consulted.
2) OP stated partner had vasectomy 10 years prior. Although risk of pregnancy is low, he could be at risk for STIs. If he doesn’t know the partner or has no proof the other man’s status, he should get tested for Gonorrhea and Chlamydia (in 2-3 weeks), and HIV and Syphilis (in 2-3months).
Great comments, thank you Aiden, no need to apologize for adding your expertise here, much appreciated!
I’m worried I had sex 2 weeks ago with a condom but I just last night I felt this sharp pain like cramps and I spotted just curious about this kinda scared should I get a pregnancy test to see
I’m a transgender ftm I’ve been on T for a year and I just recently became pregnant about three and a half months ago I stopped taking it but I was wondering how this happened
When ovulation stops via testosterone replacement varies person-to-person: it can stop soon after starting T, or not for some time thereafter. Cessation of menses does not necessarily indicate that the ovaries have been shut down, so even without a period a trans man can become pregnant.
Oh ok can t make me misscarry?
There hasn’t been much research on pregnancy and trans men but it’s been suggested that T can can cause miscarriages.
Hi I was on T for about a year. It has been about 2 years since last taking T. I want to have a baby. I do not have my monthly. It has always been irregular with few to several in between. I had it once in october 2013 but nothing since. Anything I can do to help my chances of getting pregnant?
It’s difficult to give specific advice, I recommend speaking with your doctor about getting some tests done to check your fertility.
Im in the same boat you are. Ive been on T for 16 months and i stopped almost 2 weeks ago. I want to get pregnant to… have you ben able to yet? Any tips
Hi I’ve been on T for about 3 years and had a little one night stand where things ended up happening. Sometimes when I miss shots I get my period, should I go off T for a bit and see if my period comes to make sure I’m not pregnant?
Getting a pregnancy test is probably a good idea. They’re about $10-15 at Planned Parenthood: https://www.plannedparenthood.org/learn/pregnancy/pregnancy-tests
I have been on T off and on for about 2 years now. I havent been taking it as much as I should and my last shot was about a month ago and before that…it was about another month before my shot..a couple weeks after my last shot I had sex with a guy a couple of times with no protection I was wondering the chances of me being pregnant
It’s hard to say, I definitely recommend getting tested.
Hi there same kind of problem here I’ve been on t for almost two years reandron 1000mg once every 14 weeks. My levels don’t usually drop below 10.
I had an encounter with a male and had an unexpected time so didn’t have protection.
This was two weeks ago now. He’s still clear I check that afterwards -.-‘
But is there anything I should be worried about or do if I do regrettably fall the p word?
ftm been on T for 8months.want to stop T for fertility reasons.my periods stopped second month after starting T.Anything i can do to enhance my fertility chances??
The rebound of fertility would happen at different times for different people. The NickGorton.org guide to trans male health says that “some people may require months or years of testosterone cessation and assisted reproduction technologies to regain fertility and become pregnant.” On the other hand, there are guys who became pregnant very soon after cessation. You could get a home fertility test, or see a OB-GYN for a more accurate test of fertility.
Hey, So my friend is a transgender fmt and he recently was engaged and, got pregnant during taking the T, he’s alright with it, but we were wondering how it happened ? since he didn’t miss any shot of his T, also his doctor mentioned that it’s alright to continue taking the T after the fifth month, is that alright ?
It’s not common, but even with consistent Testosterone therapy, pregnancies can still happen. Ovulation has not been suppressed. Testosterone isn’t typically resumed until after birth. I haven’t heard of resuming T. during the pregnancy.
Hi,
I’m actually in a similar boat as the OP. I’m ftm and had unprotected sex with a guy 10 days ago. He had a vasectomy 20 years ago and was checked 10 years ago and was still shooting blanks. I’ve been on T since 2012 and haven’t had a menstrual cycle since T stopped it. I’m pretty consistent with my injections too. But I’m wondering if I should be worried about pregnancy? I have a doctor’s appointment tomorrow and thought about asking for a test just for peace of mind but I’m also freaked out. Initially I was more worried/still worried about STIs. He has been on PreP for 6 years though and was last tested 6 or so weeks ago as a condition of being on PreP and was negative for HIV and STIs but I’m still getting tested anyway.
I actually never in my life had a period and I’ve been on t since June 2014 I had a fling with a guy but we didn’t actually have intercourse in the V just the A. But I thought some cum dripped down there and I’m just nervous about being pregnant (that’s my worse nightmare) I’m only 18
Hi May,
I have had the same thing recently – I would like to know if anything happened? Did you get pregnant?
Last night i had a weak bicurious moment and had sex with a guy ive been on t for 5 months and have not had a period for about 3/4 of those months last night he came inside me a little without a condom.. Now reading this im nervous what are the chances i could get pregnant? Im in a relationship with a woman and cheated and dont want to even think i could be what should i do? I stay regular with my shots every week havent had my levels tested since before i started any advice? Could i have royally screwed myself last night?
Tony –
I’m in the same spot as year. I’ve been on T for 13 months and I’m terrified I may be pregnant. I’m supposed to be getting top surgery in July. I have taken 3 pregnancy tests, all negative, but I’m freaked out.
Did you end up getting pregnant? I’m in the same boat right now and freaking out.
Hi I’ve recently had almost the same expierence, did u end up pregnant?
So, I stopped taking T for a while and I took it the day I started my period again, and my husband and I had sex, no condom, and he didn’t pull out, while I was ovulating. What are the chances I could be pregnant? I only took it a couple times before I stopped again. I took a test but it was inconclusive. Was it too early or what?
I’m FTM and I’ve been on T for 9 months. I was bi curious and had sex with this guy. He didn’t have a condom on and he didn’t pull out in time. I took 4 pregnancy test but I waited a month to take it and they said negative. I’m just scared it might be wrong. I’m not ready to be a dad.
Hello I am a 14 year old and i”m contemplating on starting T…and i”m in to dudes. Anyway I still want to have kids, like give birth.So if i stop taking T can I still have a kid?
Hi I am ftm and I’ve been taking testosterone supplements over the counter and just was able to get the prescription through my endocrinologist. I took a couple faint positive pregnancy tests I’m assuming I’m about 4 weeks along.. Do I start the testosterone therapy through my Dr or do I tell her I’m pregnant and start later on. The testosterone was to help me not lose my arm because I have an atrophied muscle to where I was barely having any muscle so I had to do something but it also helps me not be depressed suicidal and helps me have energy and feel more myself. I really don’t know what to do because I’ve been taking testosterone since February 14th of 2020 and I see the Dr Wednesday but I’m not quite sure what to do. Also can testosterone levels affect the outcome of a pregnancy test by masking the estrogen and hcg levels?
Hi Seth! Check out this link for answers to your questions: https://plannedparenthood.tumblr.com/post/69397953284/will-a-trans-mans-testosterone-therapy-make-a
Seth, it won’t hurt you to hold off on the T until you get some definitive answers. I was in hospital in February for heart failure, and one of the tests showed a sizable blood clot at my injection site. Doctor said the testosterone may have been the cause and to hold off on further injections, and we had a conversation about possibly stopping T altogether. Your health and well being are far more important than any of the effects T will provide. I wad prepared to stop taking T, but my doctor made it possible to continue with the help of blood thinners. Always, always, always consult a medical professional about such things. I tried to treat my diabetes on my own and ended up permanently damaging my heart. Learn from me.
Does anyone have knowledge or experience with older accidental Pregnancy?
Background: I’m a 46 year old trans man on T for over 5 years. Had a lapse in judgment and sex with 50 year old cis man. Allowed to let this man finish inside. I took planB after about 18 hours. But still worried because weight is 176 lbs.
More background: Have not had period in 5 years, but have occasional cramps in sync with female partners cycle, as well as cervical mucus. anyone with similar experience? anyone know oldest transgender man to get pregnant while also on T for several years and without period?
Hi Stan, I’m in a similar boat, and wondered how things ended up? It seems like there’s always a risk, but seems it’s a low one?
Hey been on T for 3 years now. I get 1000lm
T injections every 3 months and I haven’t had a period for 4 years me and the guy im sleeping with have been using condoms. Can I still get pregnant
Yes, you could still become pregnant. Even without menstruation, Testosterone doesn’t stop the process of follicle development, which precedes ovulation. Using some form of birth control is necessary to avoid an unplanned pregnancy.
Hey I’m tanner im a trans man and I have been on t for three years now and I just started dating a cis male and I was wondering if my dose is at 7 can I have a kid when being on t there is days where I forget to take my t I’m just really want to know bc we both been looking online but nothing helps
Hi Tanner! Yes, pregnancy can happen regardless of T dose. To avoid pregnancy, you’ll need to use a form of contraception.
Hey I’ve been on T for 3 to 4 years. Before starting testosterone my period only came every 3 month and for only 2 to 3 days and now I don’t have them at all but me and the guy I’m with were having sex and the condom broke and sperm was inside me I order the morning after pill as I don’t want kids. Could I still get pregnant a d how soon should I do a test
I’m trans ftm and am wondering if taking testosterone affects the results of an at home pregnancy test? Thanks
That’s a great question! From Planned Parenthood: “Pregnancy tests only test for the presence of a specific hormone in the body: Human chorionic gonadotropin (HCG). HCG is a hormone that’s produced after a fertilized egg has implanted into the wall of the uterus. So taking T will not interfere with pregnancy tests.”