Transgender women with past or current hormone use: Annual mammography starting at age 50 is recommended for any transgender women who have been taking hormone replacement therapy for at least 5 years.
Transgender men: Transgender men who have not had chest reconstructive surgery should have annual mammography as recommended for natal women. Transgender men who have had reduction mammoplasty may have some remaining breast tissue. They should perform a monthly chest self exam and consider screening mammography depending on the amount of residual tissue.