You should absolutely get medical screening based on the body parts you have, not your gender identity. This approach is essential for maintaining your health and ensuring you receive appropriate preventive care throughout your life.
Medical screening programmes are designed around anatomy and physiology rather than gender identity. Research consistently shows that early detection through screening saves lives by identifying conditions when they are most treatable. If you have a cervix, you need cervical screening regardless of your gender identity. If you have a prostate, prostate monitoring becomes important as you age. If you have breast tissue, breast screening is relevant to your healthcare needs.
Healthcare providers increasingly recognise that trans and non-binary people may face barriers to accessing screening services due to concerns about discrimination or misgendering. However, evidence indicates that avoiding screening poses significant health risks. Guidelines from major medical organisations emphasise that screening eligibility should be based on anatomy, risk factors, and age rather than the gender marker on identity documents.
It's worth discussing your screening needs with a healthcare provider who understands trans healthcare. They can help ensure you receive appropriate screening in a respectful environment whilst maintaining your dignity and comfort. Many healthcare services now offer inclusive approaches that respect your identity whilst providing medically necessary care based on your body's specific needs.