Join us in this crucial discussion with Dr. Moseson as we delve into the unique barriers to abortion care that transgender, nonbinary, and gender-expansive (TGE) people face. Given these barriers, many TGE individuals have considered, and some have even attempted, abortion without clinical supervision.

In this episode, Dr. Moseson shares results from a 2019 online survey about sexual and reproductive health among TGE people assigned female or intersex at birth. The study uncovers a significant number of TGE people who have considered or attempted self-managed abortions. These methods varied, with participants reporting the use of herbs, physical trauma, vitamin C, and substance use.

Reasons for self-managed abortion included a desire for privacy, perceived efficiency, and, importantly, several structural issues such as lack of health insurance coverage, legal restrictions, denials of or mistreatment within clinical care, and cost.

Dr. Moseson highlights the urgent need for efforts to dismantle barriers to clinical abortion care and to provide TGE people with information on safe and effective methods of self-managed abortion. The goal is to ensure that TGE people can freely choose a safe and effective abortion, whether in a clinical setting or through self-management.

This episode offers an essential conversation about the intersection of gender identity, reproductive rights, and healthcare access.

Keywords: Dr. Moseson, Transgender, Nonbinary, Gender-Expansive, TGE, Abortion Care, Self-Managed Abortion, Reproductive Health, Healthcare Barriers, Privacy, Autonomy, Structural Issues, Health Insurance, Legal Restrictions, Clinical Care, Gender Identity, Reproductive Rights.

Moseson H, Fix L, Gerdts C, et al Abortion attempts without clinical supervision among transgender, nonbinary and gender-expansive people in the US http://dx.doi.org/10.1136/bmjsrh-2020-200966