Table 2.

Participant reproductive health experiences and preferences overall and by interest in over-the-counter progestin-only pill use among an online sample of transgender, nonbinary, and gender-expansive people assigned female or intersex at birth in the United States

Reproductive health experiences and preferences	Total sample		Interested in over-the-counter progestin-only pill usea
	n	%	n	%
Total sample	1415	100.0	636	45.0
Reproductive health experiences and preferences
Ever pregnant
Yes	157	11.1	68	43.3
No	1256	88.8	568	45.2
Missing	2	0.1	0	0.0
Considers self at risk for unintended pregnancy
Yes	175	12.4	92	52.6
No or do not know	1239	87.6	544	43.9
Missing	1	0.1	0	0.0
Has had penis-in-vagina sex with anyone who produces sperm in the previous year
Yes	477	33.7	213	44.7
No or do not know	936	66.2	422	45.1
Missing	2	0.1	1	50.0
Ever contraception use
Yes	1031	72.9	461	44.7
No or do not know	383	27.1	175	45.7
Missing	1	0.1	0	0.0
Current contraception use
Yes	709	50.1	323	45.6
No or do not know	698	49.3	310	44.4
Missing	8	0.6	3	37.5
Ever oral contraception use
Yes	731	51.7	331	45.3
No or do not know	684	48.3	305	44.6
Current oral contraception use
Yes	132	9.3	75	56.8
No or do not know	1282	90.6	561	43.8
Missing	1	0.1	0	0.0
Ever progestin-only pill use
Yes	206	14.6	128	62.1
No or do not know	1209	85.4	508	42.0
Current progestin-only pill use
Yes	32	2.3	32	100.0
No or do not know	1382	97.7	604	43.7
Missing	1	0.1	0	0.0
Is sterilized or has had tubes tied, ovaries removed, and/or uterus removed or other procedure that makes getting pregnant impossible
Yes	31	2.2	6	19.4
No	1384	97.8	630	45.5
Ever used contraception for gender affirmation
Yes	146	10.3	77	52.7
No or do not know	1267	89.5	559	44.1
Missing	2	0.1	0	0.0
Ever used testosterone for gender affirmation
Yes	601	42.5	249	41.4
No	814	57.5	387	47.5
Current use of testosterone for gender affirmation
Yes	523	37.0	215	41.1
No	892	63.0	421	47.2
Wants to avoid estrogen generally
Yes	917	64.8	429	46.8
No or do not know	498	35.2	207	41.6
Wants to avoid estrogen because they view it as a female or feminizing hormone
Yes	701	49.5	351	50.1
No or do not know	712	50.3	284	39.9
Missing	2	0.1	1	50.0
Ever felt that opinions about their gender identity and/or sexual orientation from healthcare staff have negatively impacted them in a healthcare setting
Yes	791	55.9	355	44.9
No or do not know	615	43.5	277	45.0
Missing	9	0.6	4	44.4
Legal gender on their health insurance has ever prevented them from having contraception covered by their insurance (if their gender was legally changed on health insurance, n=253)
Yes	17	6.7	11	64.7
No or do not know	235	92.9	87	37.0
Missing	1	0.4	1	100.0
How comfortable did you feel asking your provider all of the questions you had about birth control? (if provider has ever discussed birth control for pregnancy prevention, n=849)
Somewhat or very comfortable	532	62.7	243	45.7
A little comfortable	115	13.6	64	55.7
Not at all comfortable	86	10.1	35	40.7
I did not have questions about birth control	110	13.0	34	30.9
Missing	6	0.7	1	16.7

The data for n=1415 people are presented.

^aParticipants were considered interested in over-the-counter progestin-only pill use if they reported “yes” (vs “no” or “don’t know”) to a question asking if they would use a birth control pill that only had progestin that they could buy over the counter (without a prescription).

Grindlay. Transgender interest in over-the-counter progestin-only pills. Am J Obstet Gynecol 2024.