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Overarching Policy for the Screening of Trans People in the Ontario Breast Screening Program and the Ontario Cervical Screening Program

Version: 2.1 ID: N/A Sep 2021
Type of Content: Guidelines & Advice, Recommendation Report
Document Status: Current
Inclusion of Trans People in Organized Cancer Screening Overarching Policy Steering Committee

Guideline Objective

  • This policy provides specific evidence-informed screening recommendations for trans and nonbinary people.
    • Trans people have a gender identity that is different from the sex they were assigned at birth.
    • Nonbinary people have a gender identity that does not fall into male or female categories.
    • Cisgender people have a gender identity that matches the sex they were assigned at birth.
  • Trans and nonbinary people are medically under-served and less likely to be up to date with breast and cervical screening than cisgender women. This is because of barriers to accessing those services such as healthcare providers who may not fully understand their needs and a lack of trans-specific cancer screening recommendations.
  • These barriers also mean screen-eligible trans and nonbinary people may not be benefiting from all aspects of organized cancer screening. This policy helps make sure trans and nonbinary people are included in Ontario’s breast cancer and cervical screening programs.

Patient Population

Trans and nonbinary people

Intended Guideline Users

Healthcare providers, cervical and breast screening experts and policy makers

Research Questions


pdf download Full Report (PDF) (370.72 KB)