Smoking has been identified as a factor contributing to decreased semen quality in trans women, which can further impact fertility. Coping and Social Context
For some transgender women, smoking can be an act of self-expression, femininity, or a way to navigate complex emotions.
Cannabis is sometimes used as a "catalyst" for exploring feelings related to gender and sexuality. Health Considerations for Trans Women Smokers smoken how shemales
Some studies suggest that for some transgender, non-binary, and gender non-conforming (TGNC) youth, smoking—particularly cannabis—is used to access moments of gender euphoria and affirmation, helping them feel more perceptive to their gender identity.
Some individuals describe smoking as a way to feel more feminine or to embrace a particular aesthetic, such as holding a cigarette while wearing heels. Smoking has been identified as a factor contributing
Research indicates that a high percentage (85.7%) of trans women who are smokers or ex-smokers reported that the pitch of their voice was too low, suggesting a negative impact on vocal self-perception.
Smoking poses significant, specific risks for trans women, particularly those on Hormone Replacement Therapy (HRT). Health Considerations for Trans Women Smokers Some studies
Nicotine is known to interfere with the function of hormones, potentially reducing the effects of female puberty and feminization.