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Trans and gender diverse people

Trans and gender diverse people

We think it is important that our services are accessible for trans and gender diverse (TGD) people and have been working with Transgender Victoria to achieve this and towards a Rainbow Tick accreditation for safe and welcoming services. This page provides information about breast/chest* health, breast cancer and screening for people who identify as trans or gender diverse.

david jones rose clinic
Rainbow Rose

Throughout the year, we run the following LGBTI-specific breast screening sessions at the Rose Clinic in Melbourne’s David Jones:
• Sessions for TGD people
• Sessions for all LGBTI people.
These after-hours sessions are for people who feel safer being screened with other LGBTI people.

You can book online or by calling 13 20 50, where you can also find out when the next Rainbow Rose sessions are. You can request the Rose Clinic or another clinic of your choice.

 
TScreen Logo
TScreen (Trans and gender diverse screening/chest care)

To ensure our services are inclusive of trans and gender diverse (TGD) people, we have established a Gender Diverse Inclusive Breast Screening/Chest Care (formerly TScreen) project.

This project complies with the recommendations by the Victorian Government that trans and gender diverse people receive age appropriate screening and sits alongside the Beautiful Women campaign.

Beautiful Women
Beautiful Women

Beautiful Women was a photo series campaign by photographer Lisa White celebrating the diversity of LGBTI women. It comprised of a photo exhibition, screening sessions for lesbian and bisexual women, consultation with trans and gender diverse people, and our first Rainbow Rose clinic sessions.

You can read more about the campaign and just how far our message reached across the globe on our dedicated Beautiful Women page.

What are the risk factors for breast cancer?

  • Being female at birth.
  • Age is the biggest risk factor. We recommend screening for people over 50.
  • While a family history of breast and/or ovarian cancer is a risk factor, most people with breast cancer do not have a family history of the disease.

Having breast implants or binding your chest does not increase your risk. See our fact sheet, Breast screening with implants, for more information.

 

Do I need to be screened?

Screening means checking for cancer before you have any symptoms — early detection could save your life. This table summarises whether screening for breast cancer may benefit you. TGD people have a unique set of factors that may affect their risk. Ask your doctor about your personal risk factors and the need for screening.

If you are 50 years or older:

Trans women

If you have been taking gender-affirming hormones (like oestrogen) for five years or more, screening every two years may be of benefit.

If you have taken hormones for less than five years, or have not taken hormones, screening is not recommended.

Trans Men

If you have not had chest surgery, screening every two years is recommended.

There are no clear recommendations for people who have had chest surgery. We suggest talking to your doctor about your individual risk factors including previous surgical and hormone treatment.

If your doctor confirms that you have no remaining breast tissue, screening is not recommended.

Gender diverse / non-binary people
 

If you were assigned female at birth and have not had chest surgery, screening is recommended.

There are no clear recommendations for people who have had chest surgery. We suggest talking to your doctor about your individual risk factors including previous surgical and hormone treatment.

If your doctor confirms that you have no remaining breast tissue, screening is not recommended.

If you were assigned male at birth and have been taking hormones (like oestrogen) for 5 years or more, screening every two years may be of benefit.

What will you ask me?

We ask every person who books an appointment the following questions:

  • if they have breast implants.
    This is because we need to allow for a longer appointment time.
  • if they have had breast/chest surgery.
  • if they are taking hormone therapy.
    We ask these  questions because they may affect the appearance of your screening images.

We do not ask questions about gender identity.

 

Where can I have a screen?

You are welcome to attend any of our clinics throughout Victoria. Our Rose Clinic in Melbourne’s CBD provides LGBTI inclusive services, including regular ‘Rainbow Rose’ screening sessions for TGD people.

 

More information

Thorne Harbour Health
Transgender Victoria
DHHS resource Rainbow eQuality 
Rainbow Tick GLHV 
National LGBTI Health Alliance 

A note on terminology: We refer to breast/chest screening and surgery. This is because we recognise that many trans men and gender diverse people do not identify as having breasts, feel ambivalent about having breasts and prefer the term “chest” on its own.