Table 5.

Specific Issues for Transgender Youth

Theme	Example quotes
Theme 4.1. Hormone Interactions	Quote 29. “I went to the doctor and I told her that I wanted to get back on PrEP and she was like, ‘Okay.’ But I asked, ‘Is there a catch because I take ‘mones [hormones]? Would it affect my body differently, because of the ‘mones and PrEP’? (Focus Group D). Quote 30. What if you're wanting to transition and take hormones, would prep effect it? (Focus Group A)
Theme 4.2 Adding HIV prevention to an existing regimen	Quote 31. I'm not pill taker, so I would say [I prefer] the shot, because I take hormones through shots. (Focus Group A) Quote 32. For me, I would stick with the pill because I do hormone pills so it's just another pill for me to take.” (Focus Group A) Quote 33. Personally, I take hormones and my hormones are every day and the shots every two weeks. So with that [long-acting injectable PrEP] being every two months, it would fuck up my whole routine. Because I'd be used to taking something every two weeks or every day, and then I gotta wait every two months to take it. (Focus Group G)
Theme 4.3 Implications for gender-affirming surgery and intervention	Quote 34. You have some transgender women who end up having a surgery and get a vagina. Would that [vaginal ring] affect them? (Focus Group A) Quote 35. Let’s say a post op trans woman got her vagina or whatever…when like they dilating and stuff, they can use the gel? Like, when you first get your pussy, you know you gotta dilate for a while to keep it open before it closes on yourself. So then you could use the gel as lube and then you can kill two birds with one stone. (Focus Group E) Quote 36. So I have a question, so she said it [long-acting injectable] couldn't work with silicone. So what if somebody has they ass done and they can't get the shot? (Focus Group E) Quote 37. [Here’s an idea] When I'm getting my PrEP shot given, have my street doctor [there], and I'm getting put with my sil [silicone] right after. It's like, take your turn. You [PrEP doctor] pump the left cheek, you [street doctor] pump the right, and then alternate. (Focus Group E) Quote 38. Participant #1: Would it double – would it make my ass fatter? [Raucous laughter] Facilitator: “Wait, wait, wait. I just want to take a quick short-hand poll. Raise your hand if you would take the PrEP shot if it made your ass fatter? [laughing and talking] Keep your hands up! Let the record show that eight people raised their hands, OK. (Focus Group E)