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At Planned Parenthood, we are PRO-YOU.

Health care that affirms who you are. 

Planned Parenthood of the Great Northwest and Hawaiian Islands (PPGNHI) now offers expanded services for transgender and non-binary patients. We’re committed to improving the way transgender people receive health care, including lowering barriers to that care.

Gender Affirming Hormone Care

We offer gender affirming hormone care for patients 18 years and older at all of our 27 health centers. You don’t need to participate in therapy or provide information from a mental health provider to receive hormone therapy.

You can schedule an appointment online or by calling 1-800-769-0045. At your first visit, a Planned Parenthood clinician will:

  • Review your medical history, including your sexual and surgical history and current health practices

  • Measure your weight and blood pressure

  • Discuss your transition goals

  • Draw your blood to watch for potential side effects of hormones

  • Explain how to take hormones and answer any questions you might have

If hormone therapy is a good fit for you, you'll receive a prescription that you can take to a pharmacy. In addition to gender affirming hormone therapy, Planned Parenthood welcomes patients of all genders and identities to access our wide range of health care services.

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Self-Injection Videos

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Self-Injection Videos

Learn how to properly perform an intramuscular (IM) or subcutaneous (SubQ) self-injection.  

What is hormone therapy? 

Gender affirming hormone therapy consists of either feminizing (estrogen) or masculinizing (testosterone) hormones. Many transgender people take hormone therapy as part of a gender transition to help their bodies and appearance align with their gender identity.

What is transitioning?

Transitioning, or a gender transition, is the process some  people may go through to live as the gender with which they identify, rather than the sex assigned to them at birth. Transitioning can involve medical treatment and hormones, changing name and pronouns, altering appearance and dress, or coming out to your friends and family. Not all transgender people transition. Gender affirming hormone therapy is an essential part of transition for many transgender people.

What are the benefits of hormone therapy? 

Hormone therapy can make you feel more at ease with yourself, both emotionally and physically. You may be experiencing discomfort because you are not happy with your appearance, or in your gender role. Perhaps your appearance and your gender role are in conflict with your inner sense of gender identity. If this is how you are feeling, hormone treatment may help you to overcome your distress.

Do all people who transition have surgery?

No, many transgender people transition without surgery. Some have no desire to pursue surgeries or other medical treatment. If you're interested in surgical options, we can refer you to other health care providers. 

What physical effects will hormone treatment have on me?

Hormones are helpful in making your appearance more masculine or feminine. Beginning gender affirming hormone therapy has many similarities to going through puberty. Although hormones taken in adulthood can help to keep your bones healthy, they can't alter your skeletal shape or your height.

How expensive is hormone therapy?

PPGNHI accepts most major insurances and can help you understand the costs of services. Our financial counselors will work with you to determine how to pay for hormone therapy, whether you have insurance or not. We provide care to everyone, regardless of your ability to pay.

What are the effects of estrogen? 
  • Fat may be distributed on the hips.
  • The size of the penis and testicles may be slightly reduced.
  • Erections and orgasms may be harder to achieve.
  • Muscle bulk and strength may be reduced.
  • Breasts may feel tender and lumpy and may sometimes increase modestly in size.
  • The growth of facial and body hair may slow.
  • Androgenetic alopecia (baldness) may be slowed or stopped.
Will I always have to take hormones?

You'll need to take hormones for the rest of your life if you want to maintain the effects of hormone therapy. 

What are the effects of testosterone? 
  • Beard and body hair growth will be promoted.
  • Androgenetic alopecia (baldness) may develop.
  • The clitoris increases slightly in size.
  • Libido may be heightened.
  • Muscle bulk increases.
  • The voices deepens.
  • Periods will stop, although there may be some breakthrough bleeding.
  • Some individuals develop acne.