Today in the United States we see a resurgence of the discussion around our country’s oldest problem: racism. Whether we’re talking about how communities of color are being over-policed and disproportionately imprisoned, or the continuation of economic inequality, it’s clear that institutional racism is an unyielding problem in our society. It is also our shame as a nation, and this shame prevents us from tackling the problem head on.

We spend a lot of time talking about how to use the many different forms of birth control to choose whether and when to get pregnant. But what if you never want to be pregnant again, or even pregnant ever? You might be thinking about having your “tubes tied.”

Like cisgender people, transgender and gender nonconforming people are sexually diverse and may be at risk for unplanned pregnancy. Regardless of where you lie on the spectrum, it’s a good idea to discuss your reproductive health needs with your provider.