Find your care
The UCLA Gender Health Program and our gynecology specialists offer the following comprehensive care services:
- Pap smears and pelvic exams: For transmasculine patients who have not undergone a total hysterectomy, screening for cervical cancer is an important component of health care and disease prevention. For both transmasculine individuals and cisgender women, cervical cancer screenings should begin at 21 years of age. Transmasculine individuals are at increased risk of having less routine screening than cisgender women, however, it is recommended that both groups undergo routine screenings around every 3 years as long as the results are normal. At UCLA, we understand that undergoing a cervical cancer screening can be both anxiety- provoking and uncomfortable. In our offices, we work with patients to ensure a comfortable and understanding environment to have these basic screenings done.
- STI Screens: In addition to screening for cervical cancer, we offer patients screenings for other sexually transmitted infections such as gonorrhea, chlamydia, trichomonas, syphilis, hepatitis, and HIV. Many of these tests can also be done via blood and urine sampling as well.
- Contraceptive Management: For transmasculine patients who have not undergone a total hysterectomy and who desire to avoid pregnancy, we offer a variety of different contraceptive options including subdermal implants, hormonal injections, and intrauterine devices. Contraceptive devices can be placed in the office, usually during a 15-minute visit. Many of the long-acting reversible contraceptive devices are functional from 3 to 5 years, and require little maintenance after insertion.
- Breast Exams: For transmasculine patients who have not undergone mastectomy, routine clinical breast exams, as well as regular breast cancer screening, is an important component of cancer prevention. For patients who have undergone mastectomy, the risk of cancer in any residual breast tissue is unknown. It is recommended that patients seek care for any new or unusual chest complaints, as mammogram or breast MRI can still be performed to evaluate for any new diseases.
- Evaluation of pelvic pain or abnormal bleeding: Transmasculine patients can have irregular bleeding patterns, regardless of whether or not they are taking hormones. Often, the bleeding can be attributed to changes in the type or dosing of hormone treatment. However, it is important that patients seek Gynecologic care for irregular bleeding pattern or onset of new heavy bleeding. Non-hormonal causes for irregular bleeding include uterine polyps, fibroids, or rarely cancer. Gynecologists can evaluate for this by performing a pelvic exam and often an ultrasound (either transvaginal, abdominal, or translabial). The management of these causes varies widely depending upon the findings.
- Preconception counseling: Patients who desire to carry a pregnancy should be evaluated preconceptually to ensure that their vaccines, STI screenings, blood work, and general health is in good condition prior to conceiving.
- Obstetric Care: For patients who desire to bear children, we offer complete prenatal care including ultrasounds, genetic screening, and collaboration with Maternal Fetal Medicine doctors to care for our pregnant patients and their babies. Both our outpatient offices and our Labor and Delivery suites are sensitive to transmasculine patients who desire to carry a pregnancy, and we strive to ensure that patients deliver in a comfortable and supportive environment.