do trans guys have to take pregnancy tests on accutane

i want to tell my dermatologist that im on testosterone as that does affect acne but if that is going to force me to take pregnancy tests then fuck no. mostly tho i got some old sh scars on my stomach that id like to be treated however they do it but i dont want em to see im not a cis dude. does anyone have experience with this?

edit: i am far from sexually active rn so ik for a fact i am not pregnant and also alr like a month on accutane