Some trans women use feminizing hormones, which can sometimes lead to changes in tissue or libido, but does not inherently change STI risk levels.

Sexually active individuals should ideally get tested every 3 to 6 months.

Testing should include swabs of the throat and rectum, as well as blood and urine tests, to ensure all potential infection sites are checked.

Bacterial infections that can affect the throat, rectum, or urinary tract. They are often asymptomatic but easily treated with antibiotics.

The risk of transmission is often linked to the type of sexual activity rather than identity. For example:

A bacterial infection that develops in stages. It often starts as a painless sore and can lead to serious health issues if left untreated.

This practice carries a higher risk for HIV and other STIs because the rectal lining is thin and can tear easily.