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Gender-Affirming ǿմý Care for Trans Patients

As primary care health care providers, we are dedicated to providing comprehensive health care for you at every life stage. We value providing care for all families.

We recognize that it can be hard to find a team to provide gender-affirming care. To help our patients we have brought together a team of:

  • physicians,
  • advanced practice clinicians,
  • pharmacists,
  • clinical social workers, and
  • dietitians dedicated to caring for you.

If you'd like to learn about the health services we provide for trans youth, you can visit or call our Adolescent Gender Management & Support Clinic.

Gender-Affirming Hormone Therapy

For individuals seeking hormone treatment as part of their gender affirming process, we offer masculinizing and feminizing hormone treatment in a primary care setting.

Masculinizing therapy will involve testosterone treatments, while feminizing therapy typically involves taking estrogen and androgen-blocking medications. Your medication and treatment plan will be based on your individual goals and medical history. You and your primary care provider will decide on a medication together through shared decision-making. 

Primary Care Services

We offer the following services and treatments:

  • Acute care
  • Chronic disease management
  • Contraception
  • Gender affirming hormone therapy
  • General pediatrics (We do not provide endocrine therapy for gender diverse children. However, we are happy to provide safe, welcoming care to all children, no matter how they identify.)
  • Obstetrics
  • PrEP/Pre-exposure prophylaxis treatment
  • Preventive care
    • Physicals/wellness counseling
    • Support for substance use disorders

Find a Primary Care Physician for Transgender ǿմý

What to Expect at Your First Appointment

During your first appointment, one of our transgender health specialists will discuss your journey with gender and medical history, including any medical conditions you may have or medications that you are currently using. We will perform a physical exam, which will entail listening to your heart and lungs and checking your blood pressure.

Any laboratory work we request will depend on your health and treatment goals. These labs are guided by the and the .

We will provide you with a consent form to review and sign. We use this consent as a checklist and guide. An educational booklet about the process of gender-affirming hormone therapy also guides our conversation with you. We do not routinely require a letter of support from a mental health provider for all patients. However, we will use an “informed consent process” to determine if adults are ready to start hormone treatment and consult with a psychologist based on your needs.

Follow-Up Visits

At your follow-up visit, your provider will:

  • review your laboratory findings.
  • discuss the consent form you signed.
  • start your hormone therapy regime, if you both agree it is medically appropriate.
  • discuss your follow-up plan for treatment moving forward.

Our primary care teams are made up of many different providers. Your primary care provider could be:

  • an attending physician,
  • physician assistant,
  • nurse practitioner, or
  • primary care resident physician.

These providers will all work together to provide you the best care.

How to Prepare for Your Visit

Please bring the following with you to your appointment:

  • a list of your medical and surgical history, which may include:

    • prior surgeries,
    • prior experiences with taking hormones, or
    • notes about any other medical conditions that you may have had;
  • your current medication list, including:
    • prescriptions,
    • over-the-counter medications,
    • supplements, and
    • herbal medications;
  • a family member, friend, or someone you trust for support, if needed.

You do not need to fast (avoid eating) for the lab tests that will be gathered during your first visit.

FAQs

What If I’m Non-Binary?

We would love to see you in our clinic to discuss your individual goals and help you find a treatment regimen that works for you.

What If I Don’t Want Hormone Therapy?

We will care for all of our gender-diverse patients in a primary care setting. Even if you are not  interested in hormones, you and your family's medical needs are important to us.