I suppose that hormonal birth control can’t be taken if you’re taking testosterone, but with IUD, condoms, spermicide gel, rhythm, abstinence, withdrawal, “alternative entry”, non-penetrative sex and abortion (and possibly others that I’ve missed) there is no excuse for having an unwanted or surprise child - even moreso when you are trying to avoid things that remind you that you’re a woman.

In the UK with free contraception and family planning being readily available and good sex education (that has dramatically reduced the rate of teen pregnancy) it’s even more unforgivable.