STI Screening for Transgender & Nonbinary People

By your anatomy and your sexual practices, not your gender identity. The CDC is explicit that clinicians should screen based on the body parts a person has and how they use them, and should avoid assumptions. So a trans man who has a cervix still needs cervical screening; a trans woman who has a penis and receptive anal sex needs testing at those sites. This tool follows that anatomy-and-behavior approach.

Yes, if you have a cervix. Testosterone does not remove the need for cervical cancer screening, and it can actually make Pap results harder to read, so keeping up with screening matters. If you've had your cervix removed (total hysterectomy) for a non-cancer reason, routine cervical screening usually isn't needed. Our cervical screening tool covers the schedule.

Because chlamydia and gonorrhea infect the throat and rectum, not just the genitals, and those infections are usually silent and missed by a standard urine test. Trans and gender-diverse people have high rates of these extragenital infections, so the CDC recommends testing at every site of exposure: a throat swab if you have oral sex, a rectal swab for receptive anal sex, and a genital or front-hole sample as appropriate.

It's worth discussing with a provider: transgender people, especially trans women, carry a disproportionate share of new HIV infections in the U.S., and PrEP is fully for you. PrEP works alongside gender-affirming hormones; ask your provider about any interactions and monitoring. Our PrEP tools can help you see if it's recommended and which type fits.

Many sexual-health clinics, LGBTQ+ health centers, and Planned Parenthood locations offer affirming, anatomy-aware STI care, and telehealth services can help too. It's reasonable to ask a clinic directly whether they have experience with trans patients. Bring the list from this tool so the visit stays focused on your body and needs.

Completely. This tool runs entirely in your browser: your answers about your body and practices are never sent to a server, saved, or shared. It's educational and can't diagnose you; only a clinician and a test can.