The diversity of people in Nova Scotia who can benefit from breast screening extends beyond cisgender women. This is why we have clear guidelines for screening for trans, gender-diverse, non-binary people.
Screening eligibility for trans women and men
In Nova Scotia, self-referral for screening mammograms is recommended according to the following guidelines.
Trans women who have taken gender-affirming hormones for five years or more are eligible for a screening mammogram. If you’re older than 50, get a mammogram every two years after you’ve been taking hormones for at least five years. If you’re between the ages of 40-49, talk to a health care provider to see if screening is right for you.
Trans women who have been taking gender-affirming hormones for less than five years are not currently eligible for a screening mammogram. Be sure to see a primary care provider if you notice any breast lumps or changes—and tell them about anyone in your family who’s had breast cancer.
Trans men who still have breast/chest tissue (who have not had gender-affirming surgery) are eligible for a screening mammogram.
Trans men who have had gender-affirming surgery and no longer have breast/chest tissue are not currently eligible for a screening mammogram.
If you’re a trans man or woman you should talk with a primary care provider about what screening you need, when to start, and how often. Of course, regardless of your sex or gender, if you notice a lump or other unusual breast change, you should always see a primary care provider to get it checked out.