Background: Little is documented about the experiences of pregnancy for transgender and gender diverse individuals. There is scant clinical guidance for providing prepregnancy, prenatal, intrapartum and postpartum care to transgender and gender diverse people who desire pregnancy. Case: Our team provided perinatal care to a 20-year-old transgender man, which prompted collaborative advocacy for health care systems change to create gender-affirming patient experiences in the perinatal health care setting. Conclusion: Systems-level and interpersonal-level interventions were adopted to create gender affirming and inclusive care in and around pregnancy. Basic practices to mitigate stigma and promote gender-affirming care include: staff trainings and query and use of appropriate name and pronouns in patient interactions and medical documentation. Various factors are important to consider regarding testosterone therapy for transgender individuals desiring pregnancy.

We conducted a qualitative study to explore the benefits of one gay male community resource, gay mentorship, particularly regarding sexual identity development. Findings indicate that gay mentorship is most involved in gay identity integration, and aided in supporting gay identity development, connecting men to gay-related resources, helping men to feel part of a gay community, improving management of gay-related stressors and role-modeling a positive gay identity. We found that gay mentorship was not associated with gay identity formation. Our research does suggest that gay mentorship fosters psychosocial benefits in gay men, and should therefore be fully explored in future studies.