Gynecological Care for Transgender, Nonbinary, and Gender-Nonconforming People

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Duke Health gynecologists provide routine and specialized gynecological care to transgender, nonbinary, and gender-nonconforming people. This includes people with a cervix, uterus, fallopian tubes, and/or ovaries, as well as transgender women who had genital surgery.

We perform preventative screenings, test for sexually transmitted infections (STIs), and help with contraception management. We also address gynecological concerns such as abnormal bleeding, pelvic pain, and painful intercourse. Treatments are personalized to your needs and concerns.

Gynecological Treatments

Contraception Management

If you or your partner do not wish to become pregnant, a Duke ob-gyn can help you decide which contraception methods are right for you. Transgender men taking testosterone can get pregnant if they have a uterus and ovaries. Transgender women who haven’t had a vasectomy or orchiectomy can get their partner pregnant through vaginal sex.

STI Testing and Treatment

Sexually transmitted infections are spread through sexual contact and should be diagnosed and treated by a doctor. If you are at high risk for HIV, infectious disease providers in our specialized pre-exposure prophylaxis (PrEP) clinic prescribe therapy to prevent infection if you are exposed to the virus.

Abnormal Bleeding

We provide evaluation and treatment of abnormal bleeding and can aid in complete menstrual suppression if that is your goal.

Annual Well Visits and Preventative Screening

We perform annual well visits and offer preventive cancer screening tests.

Pelvic Exam

Some gynecological concerns may require an evaluation of the external and internal genitalia.

Cervical Cancer Screening

Cervical cancer screenings are recommended every three to five years if you have a cervix, depending on your age and medical history. These screenings help your doctor detect cervical cancer at an early stage or pre-cancerous stage, when cervical cancer is easiest to treat and cure. During the screening, your doctor will perform a Pap smear. A small brush is rubbed around the opening of your cervix to remove cells that are tested under a microscope.

Breast Cancer Screening (Mammography)

Regular breast cancer screenings are recommended for people with breast tissue starting at age 40 or earlier if you have a family history of breast cancer.

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Gender-Affirming Surgeries


A hysterectomy removes the uterus and cervix. You will not have a period or be able to get pregnant after a hysterectomy.


During this surgical procedure, your doctor removes one or both of your ovaries.

Tubal Sterilization

During tubal sterilization, the fallopian tubes are closed off or removed, preventing eggs from reaching the uterus. Though tubal sterilization is a permanent form of birth control, you will still have a menstrual cycle.

Duke Health Supports the LGBTQ+ Community

Learn how Duke Health supports the LGBTQ community.

Why Choose Duke

Duke Health Is Committed to the LGBTQ+ Community
Duke Health values diversity and has taken many steps to show its commitment to eliminating discrimination, promoting equality, and standing beside the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community. Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital are recognized as LGBTQ+ Healthcare Equality Leaders by the Human Rights Campaign foundation for perfect scores across areas of patient-centered care, support services, and inclusive health insurance policies for LGBTQ+ patients.

Gender Care Providers Across Specialties
Duke Health provides care to LGBTQ+ people across many medical specialties. If your doctor is unable to care for a specific concern, they can refer you to someone who can.

Best Hospital for Obstetrics and Gynecology in North Carolina

Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. That is why our obstetrics and gynecology program is nationally ranked, and is the highest-ranked program in North Carolina, according to U.S. News & World Report for 2023-2024.

This page was medically reviewed on 04/23/2024