Additional Information for
Trans/Non-Binary Individuals

Are you trans or non-binary? Looking for additional STI screening information relevant to you? Based on your sexual practices, as well as organs present, the information below may serve as a general guide. We recommend, as always, for you to consult a healthcare professional for personalized medical advice (when possible, of course!). 

AMAB (Assigned Male at Birth)

Screening for cervical cancer is not necessary if you do not have a cervix. However, HPV has been identified as a risk factor for cancers that affect penile, anal, and/or throat/head tissue and you may want to consider screening for those.

If you've had bottom surgery, your STI risks may change. Depending on the types of surgical approaches used, there can be different potential STI infection risks:

  • If urethral tissue was used, you could be at risk for mucosal infections such as chlamydia and gonorrhea.
  • With inverted penile skin, the risk of infection is unknown. Lesion-based infections such as syphilis chancre, herpes or chancroids are possible.

AFAB (Assigned Female at Birth)

Anyone with a vagina/cervix is at risk for cervical cancer and other STIs, and should regularly screen. Pelvic Inflammatory Disease (PID) is a significant complication from STIs, and people who have never screened or rarely screen are at high risk for chronic conditions.

Additionally, hormone/testosterone use can be associated with vaginal atrophy, which might make vaginal examinations (such as Pap tests) more uncomfortable. Self-sampling may be an alternative, more comfortable option for you to take care of your sexual health and wellness.

No matter your sexual orientation, if you are sexually active (i.e. genital-to-genital contact) with anyone who has an infection, which includes oral sex, sex with fingers or hands, genital rubbing, sex with toys, and any other penetrative or non-penetrative form of sexual activity, you are at risk for certain types of STIs. This includes chlamydia, gonorrhea, and/or HPV which could cause cervical cancer. Screening is still important!.