Below is a summary of the cancer screening guidelines for trans women and men of average risk. If you feel you are at an increased risk for breast/chest, cervical, or colon cancer, speak with your healthcare provider.
Sexually active refers to:
AGE 21-69, WITH PAST OR CURRENT SEXUAL CONTACT
who have not had a vaginoplasty/bottom surgery → Cervical cancer screening is not recommended.
who have had a vaginoplasty/bottom surgery without the creation of a neo-cervix → Cervical cancer screening is not recommended. See the Guidelines for Gender-Affirming Primary Care with Trans and Non-Binary Patients (Sherbourne Health) for more information about visual inspection with speculum.
who have had a vaginoplasty/bottom surgery with the creation of a neo-cervix → Recommendation: Routine cervical cancer screening with a Pap test.
AGE 50-69
who have taken gender-affirming hormones for 5 years or more → Recommendation: Routine screening mammograms may be considered at BreastCheck (no referral required) or a diagnostic imaging centre (doctor's referral required)
who have taken gender-affirming hormones for 5 years or more and have breast implants → Recommendation: Routine screening mammograms may be considered but mmust be completed at a diagnostic imaging centre (doctor's referral required)
who have not taken gender-affirming hormones or have taken gender-affirming hormones for less than 5 years → Recommendation: Routine screening mammograms are not recommended
AGE 21-69, WITH PAST OR CURRENT SEXUAL CONTACT
AGE 50-69