Sexual health education is foundational to leading healthy and fulfilling lives. Most curricula fail to include LGBTQIA+ needs when teaching sex education. This guide covers the best transfeminine sex ed tools to start learning.
Table of Contents
- Choosing Sex Ed Tools That Prioritize Transfeminine Needs
- The Best Transfeminine Sex Ed & Safer Sex Guides
- Grassroots Transfeminine Sex Ed: Zines & Independent Literature
- Transfeminine Sex Ed Podcasts, Videos & Digital Creators
- Peer Support: Transgender Discussion Boards & Interactive Spaces
- Transgender Crisis Support & Anti-Violence Resources
- Frequently Asked Questions
Transgender people use a wide variety of words to describe body parts, gender identity, and sexuality. There is no correct way to be transgender, nor is there any correct transgender body. This guide contains tools for transgender women across all stages of transition.
Looking for transmasculine sex education tools? Check out our resource guide.
Choosing Sex Ed Tools That Prioritize Transfeminine Needs
Quality sex education tools emphasize inclusive language and diverse anatomy. Transfeminine individuals aren’t likely to use resources that don’t embrace their unique needs or trigger dysphoria. People simply do not want to use tools that cause distress.
Useful sex education resources should also be age- and experience-inclusive. Transfeminine people are often excluded from sex education conversations in school, forcing them to self-educate later. It’s never too late to learn, and good tools won’t stigmatize readers for being kinky, inexperienced, or no longer in high school.
How to Spot Quality Transfeminine Sex Ed: Green and Red Flags
| ❔ Topic | ✅ Green Flag | ⛔ Red Flag |
|---|---|---|
| Body Anatomy | Includes a range of body types | Includes only pre-operative, post-operative, white, or skinny body types |
| HRT Function | Includes guidance on how estrogen changes sexual function | Minimizes or ignores how estrogen impacts sexual function |
| Relationships | Includes a range of relationship dynamics | Includes only heterosexual or monogamous relationships |
| Terminology | Includes gender-affirming language and content warnings | Includes only stereotypical or medical language without content warnings |
| Consent | Includes progressive non-verbal consent systems | Does not include consent systems |
| Exploration | Encourages unconventional exploration through toys and shapewear | Discourages unconventional exploration or focuses on penetrative sex |
| Harm Reduction | Encourages safer sex through barriers and testing | Stigmatizes sex, barriers, and testing |
State Laws vs. Local Reality: Why Sex Ed Is So Inconsistent
With no federal regulations on sex education, curricula are determined by state and local governments. This causes a wide diaspora of sex education: some states require consent to be taught, while other states enforce abstinence-only education or require students to watch anti-abortion misinformation.

Even in progressive states that require inclusive and comprehensive sex education, people fall through the cracks. I grew up in rural Illinois, which has robust education laws. According to our state law, public schools that elect to teach sex education must have curricula that are inclusive, comprehensive, and aligned with current medical data.
Outside of cities, this rarely happened. Sex education continued to be taught based on local moral standards, and students were ill-equipped to self-advocate. I had peers who were told HIV education was unnecessary because all gay people are going to die and burn in Hell anyway, some who were taught that birth control prevents HIV, and others who were never taught how a condom works.
Low-quality sex education puts people at risk of STDs, unwanted pregnancy, relationship abuse, and poor self-image. Many educators wrongly believe sex education will lead young people to have sex. Data consistently shows the opposite: comprehensive sex education simply makes sex safer.
The Best Transfeminine Sex Ed & Safer Sex Guides
Nonprofit organizations and other entities regularly produce detailed sex education guides to inform the public about transfeminine safer sex. This literature is normally free, though it can be difficult to find.
Brazen by The 519 (2017)
Brazen is the most comprehensive safer sex guide catered to transgender women, developed by The 519 and CATIE. Its transmasculine counterpart is PRIMED, which CATIE publishes with GMSH. If you read no other guides on this list, read Brazen.
Brazen covers safer sex as well as rarely discussed topics, like sex work, injections, and disclosure. The surgery section also explains how medical transition may impact how parts work, such as changes from vaginoplasty and estrogen.
Unlike in our previous guide for transgender men, there are no published guides targeted specifically at lesbian transgender women or transfeminine individuals who prefer T4T relationships. Most safer sex publications are either transgender-friendly guides for all women OR transgender-specific guides for all sexualities. There is a current gap in the literature centered on these intersections.
FEMME by LGBT Foundation (2024)
LGBT Foundation’s FEMME is the most recent release on this list. Although it centers specifically on HIV and syphilis, FEMME goes in-depth about PrEP, condoms, and needle sharing to help transgender women enjoy safer sex.
Trans Women: Trans Health Matters by Terrence Higgins Trust (2012)
Trans Women: Trans Health Matters includes sex education fundamentals, like body image, healthy relationships, disclosure, and barriers. Although it’s becoming a bit dated, the guide is brief enough to be a short read.
Trans Women is currently hosted by Rainbow Health Ontario. THT has an updated website with sex education information for transgender women, Sex and Sexual Health for Trans Women and Trans Feminine People, although it lacks PDFs and printable guides.
Trans Women and Sexual Health by gTt-VIH (2020)
gTt-VIH is a Spanish HIV/AIDS resource center, allowing it to create bilingual content like Trans Women and Sexual Health. Published in 2020, Trans Women and Sexual Health focuses on barriers and practices to ensure all forms of sexual activity can be both enjoyable and safe.
Safer Sex for Trans Bodies by Human Rights Campaign & Whitman-Walker Health (2021)
Safer Sex for Trans Bodies is an extensive guide by HRC and Whitman-Walker Health that explores language, consent, and safer sex. Unlike other guides referenced above, Safer Sex for Trans Bodies and other publications listed below are written for all transgender identities rather than just transfeminine individuals.
In addition to general safer sex conversations, Safer Sex for Trans Bodies links to resources for free condoms, STD testing, and birth control options. We also recommend Trans Solidarity Project’s reproductive and HIV resources.
Healthy Bodies Safer Sex by Beth Thompson & Anna Benbrook (2016)
When recommending transgender safer sex guides, Healthy Bodies Safer Sex is frequently suggested alongside Safer Sex for Trans Bodies. While Healthy Bodies Safer Sex has not been revised since 2016, it contains unique information regarding health screenings, disclosure tips, and STDs.
Healthy Bodies Safer Sex was originally published by Florida State University in 2016. Its copyright is owned by FSU, but FSU no longer hosts a live upload. The current upload is through the University of North Carolina at Chapel Hill.
BDSM: Safer Kinky Sex by AIDS Committee of Toronto (2013)
While BDSM communities take safer sex and consent extremely seriously, there is an astonishing lack of published BDSM safer sex literature. BDSM: Safer Kinky Sex was developed by the AIDS Committee of Toronto to introduce individuals to kink-friendly harm reduction.
The AIDS Committee of Toronto was permanently dissolved in March 2026. It served the community for over four decades, creating numerous resources like BDSM, which can only be accessed via the Wayback Machine.
Trans Bodies, Trans Selves by Laura Erickson-Schroth (2021)
Trans Bodies, Trans Selves is the gold standard for holistic transgender health, containing over 600 pages of information. Trans Bodies, Trans Selves was last revised in 2022 and is modeled after the landmark 1970 book Our Bodies, Ourselves.
Trans Bodies, Trans Selves is a dense read and covers physical, mental, social, and sexual health over a lifetime. The sexual health section by Nick Gorton and Hilary Maia Grubb begins on page 215. Due to the book’s density, it’s a great follow-up piece for folks wanting to learn more about transgender health.
What They Don’t Tell You in Sex Ed! By APTN (2021)
The Asia Pacific Transgender Network published What They Don’t Tell You in Sex Ed! To highlight common knowledge gaps transgender people have about their bodies.
What They Don’t Tell You in Sex Ed! is also a solid alternative as a POC organization and explores diverse identities, health screenings, dating safety, and other tools to make sex safer.
Guide to Lubes by Smitten Kitten (2023)
Smitten Kitten is a sex store with body safety and sexual health at its core, which led them to write their Guide to Lubes to guide public knowledge regarding sexual lubricants.
Guide to Lubes covers lube compatibility, pH levels, osmolality, and other important factors to help individuals determine what lubricant is best for their needs.
Although Smitten Kitten is the creator of Guide to Lube, it is not currently hosted on their website. A free live upload can be found via the link below through QueerDoc.
LGBTQIA+ Sexual Health Guide by FOLX (2023)
FOLX hosts a comprehensive LGBTQIA+ Sexual Health Guide, which covers contraception, sex work, polyamory, and more. Like Terrence Higgins Trust’s Sex and Sexual Health for Trans Women and Trans Feminine People, the FOLX LGBTQIA+ Sexual Health Guide is a digital-only directory and not available in PDF format.
Grassroots Transfeminine Sex Ed: Zines & Independent Literature
Zines, or self-published magazines, have a long history in transgender and punk culture. These are some of the most notable zines that explore transfeminine sex ed.
Fucking Trans Women by Mira Bellwether (2010)
In the world of transgender zines, Fucking Trans Women is the top of its class. It is considered foundational and frequently referenced by other publications when discussing transfeminine sexuality.
Although FTW was originally planned to be several volumes, the 2010 version covers common sexual practices enjoyable to transgender women, the importance of consent and communication, and talks about sex in a very real, adult way. Since FTW is based on Bellwether’s life, it focuses heavily on queer women, T4T, and pre-op/non-op experiences – although its content applies to most folks.
Technically, Fucking Trans Women is available for free. MARA’s Library has a live upload of the zine, and FTW has been uploaded on and off via the Internet Archive over the years. If you search “Fucking Trans Women,” MARA’s upload will likely be the top result – clicking it will automatically download the PDF. As far as I can tell from my own experience, the link is safe although not ideal. For most readers, FTW is easy to access for free.
However, I have not linked it due to the express wishes of Bellwether (FTW’s creator) for the zine and its profits to go to her sister after Bellwether passed in 2022. The current official website is linked below, which can be used to purchase a copy of FTW for $10. The previous official website is defunct and insecure.
Queer Sex Ed Community Curriculum
QSECC is an open project composed of dozens of zines about healthy relationships, consent, and other safer sex topics. The goal of QSECC is to create transgender-inclusive sex education, and all of its content is free to expand public access. The following are my personal recommendations to start with:
- What Does Sex Mean?
- What is Monogamy? (And What is Non-Monogamy?)
- What Does Consent Mean?
- Boundaries 101
- Toxicity and Abuse
- Period Sex isn’t Dirty
- Contraceptive Accessibility
Trans Sex Zine by Von DeWitt (2018)
Similar to QSECC, Trans Sex Zine is an open collaborative project to tell informative stories about transgender sexuality. Trans Sex Zine currently has two 30-page volumes and an activity book.
Trans Sex Zine is currently uploaded for free through Your Empowered Sexuality, another organization with great sex education graphics. Like Fucking Trans Women, I recommend supporting Trans Sex Zine’s creator by purchasing an official copy if able.
Kindling Our Curiosity by Trans Care BC (2024)
Trans Care BC has produced three zines titled Kindling Our Curiosity: A Trans Sexual Health Zine. In total, Kindling Our Curiosity is 56 pages and builds off the foundations of Fucking Trans Women and Learning Good Consent.
Unlike other transfeminine safer sex guides, Kindling Our Curiosity does NOT focus on barriers or STDs. Instead, the zines aim to reframe one’s perception of sexual health to better understand one’s personal risks. It’s a perfect companion series once you’re acquainted with trans safer sex basics.
Go Fuck Yourself by Annie Danger (2006)
Annie Danger created Go Fuck Yourself to educate people about gender-affirming sex toys. The zine is sex positive with transgender women at the forefront.
If making your own tools, please exercise caution by reading Go Fuck Yourself’s safety warnings and related literature like BDSM: Safer Kinky Sex and Fucking Trans Women.
Sex Ed with Jenna
Sex Ed with Jenna was created by undergraduate students at the University of Vermont to catalog 252 different sex education zines.
Although not all of the zines are necessarily transgender, the entire project is centered around queer and transgender experiences. I recommend these zines to get started:
- Fuckin’ Transgender: Sex + Transness
- Love, Yourself: A Guide to Affirming Sexual Experiences for Trans People
- Modern Day Sex Ed: How Porn is Replacing Sex Education
- Cherries Don’t Pop: A Guide to the Myths and Facts About the Hymen
- Buzzing with Benefits: A Vibrant World of Sex Toys
Transfeminine Sex Ed Podcasts, Videos & Digital Creators
Textbooks and zines aren’t the only media to learn about safer sex. These are content creators who specialize in transfeminine sex education.
Kat Blaque
Kat is a Black transgender woman who has made sex positive content for years. She’s not shy about creating great videos related to her intersections of trans identity, kink, and Blackness.
Ash Hardell
Ash is a nonbinary YouTube creator with a focus on sex education and LGBTQIA+ topics – as well as an author. Although they are assigned female at birth, their content is useful to everyone (similar to how I recommended Kat Blaque in my previous transmasculine sex ed guide).
Hannah Witton
Hannah is a cisgender heteroplexible woman, but she’s dedicated her YouTube channel to creating inclusive sex education. With nearly 600 videos, Hannah covers body positivity, dating, toys, and nearly everything one could ask about sex. Although Hannah’s content is not specific to transgender women, her sex education videos are transgender-inclusive.
Sexplanations
Dr. Lindsey Doe prides herself on creating comprehensive, shame-free, and entertaining sex education content. Like Hannah Witton, Sexplanations is not transgender-specific, but it is transgender-inclusive. No matter the topic, Sexplanations likely have you covered.
Queer Sex Ed Podcast
Queer Sex Ed was produced for over eight years, last updated in mid-2025. Each episode is about an hour long and is created with transgender people in mind.
QSE is especially kinky, so it’s a perfect addition if your other content is too tame. As Queer Sex Ed describe themselves, it’s sex education by and for trans people, queer people, and polyamorous people.
Brain Frot
Brain Frot is a 19-episode podcast (currently) by Lex and Lavender, targeting T4T relationships and sex education. T4T relationships are common amongst transgender people, so Brain Frot explores a gap frequently missed by other sex educators.
Sex Ed with DB
Similar to Sexplanations, Sex Ed with DB is a professional sex educator. Although DB is not transgender, she often brings expert collaborators to discuss sexual health, and the podcast is grounded in queer pleasure.
Peer Support: Transgender Discussion Boards & Interactive Spaces
Sometimes, we need answers that can’t be easily explained by reading a brochure or watching a YouTube video. Most people don’t have a website or platform to post content, even if they have real-world experience and answers. These are the best public forums for transfeminine sex education.
Scarleteen
Scarleteen has been producing sex education and giving professional advice on the internet since 1998. At its core, Scarleteen produces LGBTQIA+-inclusive articles based on what young people express a need for.
It also functions like a professional queer Dear Abby and provides answers to user-submitted questions by its staff and volunteers. Their external resources and PDF worksheets are also perfect for exploring those sex ed skills.
Scarleteen hosts a live message board to allow users to post questions and discussions. The board is available 24/7 and moderated by Scarleteen staff and volunteers, making Scarleteen ideal compared to user-moderated forums like Reddit. In addition to its message boards, Scarleteen also provides text and live chat to talk directly to staff.
Reddit is a social network platform that allows users to anonymously interact in thousands of forums. People meet based on shared interests, and there are hundreds of transgender-specific communities.
Relevant subreddits include:
TransGender Pulse
TransGender Pulse is one of the largest modern transgender forums outside of Reddit, grouped similarly with Susan’s Place, Transgender Heaven, and TG Forum. TransGender Pulse has a smaller user base than Reddit, but its forums are better moderated by its trained staff.
Asexual Visibility and Education Network
Although the Asexual Visibility and Education Network is focused on asexuality, its forums are an amazing place to learn about sex. AVEN and its message boards are some of the internet’s most open spaces to authentically talk about relationship dynamics and sexuality.
Transgender Crisis Support & Anti-Violence Resources
Comprehensive sex education should always include sexual and domestic abuse resources. Transgender people experiencing violence may lack quality support systems to escape unhealthy relationships. These are the best transfeminine sexual violence tools.
The Network/La Red
TNLR is a survivor-led organization centered around ending intimate partner violence in LGBTQIA+ relationships. They provide information about healthy relationships as well as multiple support programs and services to help transgender survivors.
The Network/La Red operates a 24-hour confidential bilingual hotline to provide free crisis intervention. The TNLR hotline can be reached at 800-832-1901.
FORGE
FORGE is one of the largest transgender anti-violence organizations in the United States and offers services to empower transgender survivors. FORGE does not currently operate any hotline services, but they do provide direct support and trauma services.
Trans Lifeline
Trans Lifeline provides crisis support to transgender individuals based in the United States and Canada. While Trans Lifeline does not exclusively focus on sexual violence, its staff and volunteers are well-trained to handle all types of crises.
Trans Lifeline operates an anonymous and confidential hotline that does NOT use involuntary intervention while providing caller support. The hotline can be reached at 877-565-8860 (US) and 877-330-6366 (CA). Trans Lifeline is NOT available 24/7; please review hotline hours for additional information.
Anti-Violence Project
The Anti-Violence Project supports LGBTQIA+ victims of violence in coordination with the National Coalition of Anti-Violence Programs.
In addition to free legal support, AVP operates a 24/7 bilingual hotline for transgender survivors experiencing violence. The hotline can be reached at 212-714-1141 or through their online report form.
National Domestic Violence Hotline
The National Domestic Violence Hotline is a national service supported by the US Department of Health and Human Services to offer free crisis intervention for survivors. While NDVH does not exclusively focus on LGBTQIA+ individuals, its staff are trained to support transgender survivors.
The National Domestic Violence Hotline is 24/7 and fully confidential. Services can be accessed in over 200 languages at 800-799-7233, by texting 88788, via online chat, and through the AI Ruth chatbot.
National Human Trafficking Hotline
The National Human Trafficking Hotline coordinates services to intervene in suspected human trafficking cases through support by Compass Connections, Polaris, and the US Department of Health and Human Services. While NHTH does not exclusively focus on LGBTQIA+ individuals, its staff are trained to support transgender survivors.
The National Human Trafficking Hotline is 24/7, confidential, and provides bilingual services. The hotline can be reached at 888-373-7888, by texting 233733, or through online chat.
National Street Harassment Hotline
Stop Street Harassment provides emotional support to victims of street harassment in partnership with RAINN and Defend Yourself. While NSHH does not exclusively focus on LGBTQIA+ individuals, its staff are trained to support transgender survivors.
The National Street Harassment Hotline is fully anonymous and bilingual. The hotline was formerly available 24/7, but is currently only available during set hours. The hotline can be reached by calling 855-897-5910 or through online chat.
Rape, Abuse, & Incest National Network
RAINN is the largest anti-sexual violence organization in the United States and provides support to sexual assault survivors through a variety of programs. While the Rape, Abuse, & Incest National Network does not exclusively focus on LGBTQIA+ individuals, its staff are trained to support transgender survivors.
RAINN operates a 24/7 confidential bilingual hotline, which can be reached at 800-656-4673, via text at 64673, WhatsApp, and online chat.
love is respect
love is respect provides services to young people to promote healthy relationships, supported through the National Domestic Violence Hotline and the US Department of Health and Human Services. While love is respect does not exclusively focus on LGBTQIA+ individuals, its staff are trained to support transgender survivors.
love is respect operates a 24/7 confidential bilingual hotline that can be reached at 866-331-9474, via text at 22522, and online chat.
Planned Parenthood
Planned Parenthood is the largest reproductive and sexual healthcare organization in the United States. While Planned Parenthood does not exclusively focus on LGBTQIA+ individuals, its staff are trained to support transgender people.
Planned Parenthood formerly hosted online chat services to connect individuals with trained educators. Today, Planned Parenthood operates a 24/7 confidential AI chatbot (Roo) to answer user questions about sexual health, relationships, and more.
Frequently Asked Questions
What safer sex methods are available for transfeminine people?
Safer sex looks different for everyone based on the types of sex you have. It is common for transfeminine people to use condoms, dams, gloves, and medication to reduce risk.
PrEP and PEP offer protection against HIV when taken as prescribed. Condoms and similar barriers are the only way to prevent other STDs and unwanted pregnancy.
How can I navigate gender dysphoria during intimacy?
Intimacy can be difficult due to gender dysphoria, but it doesn’t need to be. Intimacy should feel affirming and pleasurable, not distressing. Use clear communication to set firm boundaries.
Some transgender people find intimacy better by using specific, gender-affirming terms for body parts (ex. strapless, front hole), dimming the lights, using shapewear, and shifting the focus away from penetrative sex.
Can estrogen hormone replacement therapy affect sexual function?
Yes, estrogen hormone replacement therapy changes sexual function by impacting how your body experiences arousal, stamina, and pleasure. Many transgender women report libido changes, softer erectile tissue, decreased ejaculate volume, and fewer spontaneous erections.
These changes do not equate to less satisfying sex, but they do change how you experience pleasure. Understanding these changes without judgment allows transfeminine individuals to explore new experiences.
Do transgender women still need sexual health screenings?
Yes. Transgender women should be regularly screened based on their transition status and anatomy, including mammograms, prostate exams, and STD testing.