Contraception4All: Designing an Inclusive Contraceptive Decision Making Tool for Transgender and Gender Non-Conforming Individuals

Selecting a contraceptive method is influenced not only by personal preferences, but also by structural and contextual barriers. For transgender and gender non-conforming (TGNC) people, contraceptive decision-making (CDM) requires additional considerations, such as hormone therapy, side effects, gender dysphoria, and more. CDM tools contribute to positive reproductive health outcomes. A 2024 pilot web-based CDM tool was created for TGNC-specific considerations through a questionnaire assessing user background, medical history, and preferences. This paper describes an updated tool, Contraception4All (C4A) , with integrated features such as a homepage, a recommendation questionnaire, detailed contraceptive method profiles, myth-busting content, FAQs, and access to community and clinician-informed support resources. This tool was tested in a study examining CDM factors and tool design preferences among TGNC individuals, yielding findings shaping content and design enhancements. C4A implemented such designs to address community-specific concerns while also providing options for cisgender women.