Trans man

Within this section we look at how anyone who was labelled female when they were born, but who identifies as male, trans male, trans masculine or non-binary can look after and or improve their sexual health.

Trans men can have partners of every gender and a variety of body types. Your sexual preferences may include being a receptive and/or penetrative partner in anal, oral or vaginal/frontal sex. Whether you have had lower surgery or not, the basic information about safer sex for trans men is the same, use a condom (external or internal condom) along with water-based lube.

If you've recently had lower surgery and have unhealed skin, this could make it easier for you to acquire or pass on HIV, as bleeding can provide a route into or out of your body.Sexually transmitted infections (STIs) such as genital warts and herpes are passed on through close skin contact, so a condom won’t necessarily protect you against these infections. It's easier to acquire or pass on HIV if you have another STI.

Safer sex

Whether a penis has always been there, is surgically-constructed or bought in a shop, the safest option is to always use a condom. Condoms come in different sizes, shapes and materials (including latex-allergy free). Always change condoms between partners

We advice you have a sexual health screen at least once every year. Increase this to every six months or more if you've been at risk of contracting an STI or HIV.

Trans woman,

Within this section we look at how anyone who was labelled male when they were born, but who identifies as female some or all of the time, or non-binary can improve their sexual health.

Trans women can have partners of every gender and a variety of body types. Your sexual preferences may include being a receptive and/or penetrative partner in anal, oral or vaginal sex.

Safer sex

Whether you have had lower surgery or not, the best way to protect yourself and your partner against sexually transmitted infections (STIs) and HIV is to use a condom (internal or external) for vaginal or anal sex and use a water-based lube with your condom.

Condoms both internal and external are free at our Swish clinics. Not all trans women can use internal (sometimes called 'female' condoms or Femidoms) – it will depend upon the depth of your vagina. Sexually transmitted infections (STIs) such as genital warts and herpes are passed on through close skin contact, so a condom won’t necessarily protect you against these infections. It's easier to acquire or pass on HIV if you have another STI.

we advice you have a sexual health screen at least once every year. Increase this to every six months or more if you've been at risk of contracting an STI or HIV.

Online line testing pilot 

At SWISH we advise those identifying as trans and non binary who are sexual active to have a routine sexual health check-up at least once a year. SWISH is currently running a trial of Online STI testing. If you are trans or non binarty and do not have any symptoms but want to get tested, you may be eligible to take part.

If you have an STI it can take some time for your body to show signs for our tests to find it, so please consider the information below before taking a test. If it is done too early it will not be accurate. It is better to wait to take the test if you don’t have symptoms.

  •  It can take two weeks after sex, for Chlamydia and Gonorrhoea to show up on a test
  •  An HIV test is highly accurate 4 weeks after sex and 100% accurate 8 weeks after sex
  •  Syphilis can take up to at least 8 weeks to show infection after sex

Click here to complete the triage page to determine your eligibility and order a test. 

Click here to read  frequently asked questions regarding online testing 

We also work with The Eddystone Trust to offer sexual health outreach services for trans and non-binary people, and they will be able to provide information and advice about sexual health and safer sex including:

  • Help completing your online test (if needed)
  • Vaccinations
  • PrEP information and support
  • HIV fast testing

To contact the Eddystone trust please call 0800 328 3508 / 01752 254 406 or email info@eddystone.org.uk