Abortion attempts without clinical supervision among transgender, nonbinary and gender-expansive people in the United States

Transgender, nonbinary and genderexpansive (TGE) people in the United States plan for, carry and terminate pregnancies. At least 0.4% – 0.6% of adults in the United States identify as transgender. Many TGE people assigned female sex at birth and people with intersex conditions have and retain a uterus, ovaries and fallopian tubes, and some report sexual intercourse with sperm-producing partners. As a result, many TGE individuals and people with intersex conditions need pregnancy and abortion care. Yet, the specific family planning needs – particularly abortion – of these populations have been inadequately characterised.