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Trans and gender diverse people

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Trans and gender diverse people

We think it is important that our services are accessible for trans and gender diverse (TGD) people. BreastScreen Victoria's Coordination Unit achieved a Rainbow Tick for for safe and welcoming services, and we plan for our Screening Service Providers and Reading and Assessment Services to be accredited too. This page provides information about breast/chest* health, breast cancer and screening for people who identify as trans or gender diverse.

TGD inclusive practice

Breast chest screening for TGD people cover

For information about breast/chest health, breast cancer, and screening for TGD people see our Breast/chest screening for trans and gender diverse people fact sheet.

Breast/chest screening for TGD people

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 between the ages of 50 and 74:

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 or you are sure that you have no remaining breast tissue, screening is not possible or necessary.

Non-binary/gender diverse 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 or you are sure that you have no remaining breast tissue, screening is not possible or necessary. 

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

Screening FAQ for LGBTI people

Our research identified the following barriers to screening for LGBTI people: previous experiences of discrimination in healthcare, lack of representation in promotional materials, staff lack of knowledge, and fear that they may have to ‘come out’ in the process.

These barriers not only impact negatively on a person’s experience and choice, but can also deter an individual from accessing routine screening due to lack of awareness, or fear of the ignorance or discrimination they may encounter.

BreastScreen Victoria does not provide screening to any clients, regardless of gender, who have had a double mastectomy. We suggest talking to your doctor about your individual risk factors including previous surgical and hormone treatment. If your doctor confirms or you are sure that you have no remaining breast tissue, screening is not possible.

We ask this question of all clients when they make their booking. People who take hormone replacement therapy (HRT) may develop denser breast tissue, which may affect the appearance of your screening images. It is more difficult to detect breast cancer in dense breasts. Read more about breast density here.

When you book and attend your appointment we will only collect information that is required to perform your breast screen. We will not ask you to disclose information about your sexual orientation, gender identity, or intersex status.

If you would like us to record this information on your file please let us know. If recorded, this information will be visible to contact centre and reception staff, and clinical staff who access your record. We will not record this information unless you provide consent.