A Comparison of Sexual Reproductive Health Knowledge Between Transgender Men and Cisgender Women [04B

Abstract

INTRODUCTION: Gynecologic care for transgender (trans) men can be emotionally challenging due to the nature of the examinations. However, it remains important and recommended, especially in individuals who have not undergone gender-affirming surgery. There are currently no published studies assessing trans men's knowledge of sexual reproductive health (SRH) and gynecologic care. This study aimed to compare SRH knowledge and gynecologic care practices of trans men and cisgender women. METHODS: A cross-sectional survey composed of 41-questions that addressed demographics, SRH knowledge, and gynecologic care practices was administered online using Amazon Mechanical Turk. Inclusion criteria included female assigned at birth, 18 years or older and residing in the US. Data were analyzed descriptively using SPSS. RESULTS: To date, 520 participants (n=167 trans men, n=353 cisgender women) have completed the survey. Preliminary analyses revealed that trans men answered less than 50% of the twenty knowledge questions correctly (mean correct responses: 48.1% vs 62.9% for cisgender women), demonstrating significantly lower baseline SRH knowledge than cisgender women [95% CI 11.35–18.43, P<.001]. More trans men expressed interest in learning about the female reproductive system than cisgender women (68.9% vs 54.4%). Additionally, trans men reported more medical visits for SRH issues than cisgender women in the last 12 months (mean visits: 4.27 vs 3.03) and were more likely to discuss SRH concerns with providers other than gynecologists. CONCLUSION: Trans men seem to have limited SRH knowledge but are interested in learning more about their natal reproductive organs. Providers including gynecologist should assess for knowledge gaps and engage in appropriate counseling.