WCH CONNECTJune 18, 2019

The Bay Centre for Birth Control Special Treatment Clinic serves all individuals

  • June 18, 2019
  • BY Dr. Sarah Warden and Sarah McCarthy, RN

Sexual health is important regardless of how you identify and who you have sex with. At the Bay Centre for Birth Control Special Treatment Clinic we are proud to serve the full spectrum of individuals requiring our services. Two issues that come up frequently for the LGBT2SQ+ population are cervical cancer screening and contraception for transmasculine individuals.

Pap tests are important regardless of how you identify and what type of sex you have. If you are or ever have been sexually active and you have a cervix you still need regular pap screening. 

Pap screening is recommended every three years starting at the age of 21. Pap tests are used as a screening tool for abnormal cells on the cervix. These cell changes are caused by the Human Papilloma Virus (HPV). The Bay Centre offers a drop in pap program on Wednesday evenings from 4 p.m. to 7 p.m. We welcome anyone with a cervix to this program. 

In addition to changes on the cervix, certain strains of HPV can also cause genital warts. We have a clinic on Tuesday afternoons for treatment of genital warts open to all patients, as well as our evening clinic for STI testing and treatment Tuesday through Thursday.  

For transmasculine patients taking testosterone, one of the goals of therapy is often to stop monthly periods; however, testosterone is not an effective birth control method and pregnancy can still occur. Options for these patients should include all options available to their cis-female counterparts.

These include copper IUDs without hormones or progesterone IUDs. A hormonal IUD may help reduce uterine bleeding, an advantage for patients who are dysphoric around menstruation. The IUD insertion procedure can be difficult for some patients, so it’s important to have this done with a sensitive provider competent in the care of transgender and nonbinary patients.

Other options for these patients would include depot progesterone injections, progesterone implant (not currently available in Canada) or progesterone or combination oral contraceptive pill. At the Bay Centre, we serve all patients’ contraceptive needs and are proud to practice patient-centred care during consultations and examinations.

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