Trans women and non-binary people assigned male at birth who are registered with a GP as female:
- Are invited for breast screening.
- Are invited for bowel cancer screening.
- Do not need cervical screening as they do not have a cervix.
- Are not routinely invited for abdominal aortic aneurysm (AAA) screening but can request screening.
Trans women and non-binary people assigned male at birth who are registered with a GP as male:
- Are not routinely invited for breast screening but can request screening.
- Are invited for bowel cancer screening.
- Do not need cervical screening as they do not have a cervix.
- Are invited for AAA screening.
Trans men and non-binary people assigned female at birth who are registered with a GP as female:
- Are invited for breast screening.
- Are invited for bowel cancer screening.
- Are invited for cervical screening.
- Are not invited for AAA screening.
Trans men and non-binary people assigned female at birth who are registered with a GP as male:
- Are not routinely invited for breast screening but can request screening.
- Are invited for bowel cancer screening.
- Are not routinely invited for cervical screening but can request screening.
- Are invited for AAA screening but do not have a high risk of AAA.
Trans men who are pregnant should be offered the same antenatal and newborn screening tests as all other pregnant individuals.
What is the screening invitation process?
Cervical screening
- People registered as female are invited for cervical screening every 3 years from the age of 25–49 years and every 5 years from the ages of 50–64 years.
- People aged over 65 years who have not been screened since the age of 50 years or those who have recently had abnormal tests are also invited.
- Trans people need to ensure their GP contacts the NHS Cervical Screening Programme so they are invited for screening correctly.
- People can contact their GP if they do not want to be invited for screening.
Breast screening
- All people aged 50–71 years registered as female with their GP are automatically invited to breast screening every 3 years.
- The first invitation arrives between the ages of 50–53 years.
- The NHS is in the process of extending the programme as a trial, offering screening to some people from 47 years and for some people up to 73 years.
- Trans people need to ensure their GP contacts the NHS Breast Screening Programme so they are invited for screening correctly.
- If they wish to opt out they can contact the local breast screening office.
Abdominal aortic aneurysm (AAA)
- AAAs are far more common in men aged over 65 years than in women and younger men.
- The NHS AAA Screening Programme only invites individuals registered as male for screening.
- However, any trans woman will have the same risk as a man and should consider accessing screening.
- Individuals registered as male are invited for an ultrasound scan to check the size of their abdominal aorta when they are 65 years of age.
- Individuals aged over 65 years can request a scan by contacting their local AAA screening service directly.
- Trans people need to ensure their GP contacts the NHS AAA Screening Programme so they are invited for screening correctly.