Most people with a uterus were assigned female gender at birth, but some transgender or otherwise identified folks may also need to consider issues such as contraception, pregnancy, and abortion.


Birth Control

Consider getting an intrauterine device (IUD)—once inserted, these are effective for years and reduce reliance on medical birth control.

Another Long-Acting Reversible Contraceptive (LARC) is the hormonal implant, most commonly available as either Nexplanon or Implanon. The implant is a very small rod (size of a matchstick) inserted under the skin of the upper arm to provide birth control. It’s invisible and prevents pregnancy for up to 4 years. You can read more about hormonal implants in Bedsider’s overview.

Consider stocking up on Plan B or AfterPill (available over the counter), for possible future personal use in case of an unwanted pregnancy when getting a safe abortion would be very difficult. Learn more about emergency contraception on Princeton’s EC site.

If you are certain you do not want to bear children, consider getting Essure or a tubal ligation now if your insurance currently covers it, in case coverage disappears.


Other Healthcare

If you receive services through Planned Parenthood or receive other care through a federal or ACA-created plan, expedite what healthcare you can and explore backup insurance options.

If you have not or your children have not yet received the HPV vaccine, consider initiating the series immediately in case your insurance stops covering it in the near future.


Legal Protection

Familiarize yourself with the names and numbers of local legal protection groups, which will be working to provide advice, materials, and support over the coming months: