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Health care that affirms who you are. 

Planned Parenthood Great Plains is committed to serving all people in our communities with care and respect. We are proud to provide sexual and reproductive health care and education to transgender and non-binary people in communities across our region.

Make an appointment at any of our health centers in Arkansas, Kansas, Missouri, and Oklahoma.

Gender-affirming care

We offer gender-affirming hormone care for patients 18 years and older at all of our 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 1-800-230-PLAN. 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.

Learn more about gender

Your gender identity is an important part of who you are. Learning more about gender identity can help you understand yourself and the people around you.

Frequently Asked Questions

What is gender-affirming care?

Gender-affirming care includes any medical or mental health care that supports transgender and non-binary people's transition process. We offer gender-affirming hormone therapy at PPGP, which consists of either feminizing (estrogen) or masculinizing (testosterone) hormones. Many trans people take hormones as part of medical transition to help their bodies and appearance align with their gender identity.

What is transitioning? 

Transitioning 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, and/or coming out to friends and family. Not all transgender and non-binary people engage in all types of transition, but for many, gender-affirming care is an essential part of transition.

What is gender-affirming hormone therapy?

Some people feel a misalignment between their body and their gender, which may cause discomfort or distress. For those who feel this way, gender-affirming hormone therapy can produce changes in the body that can alleviate that discomfort or distress, and make you feel more at ease with yourself both emotionally and physically.

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?

Gender-affirming hormones function by helping your body to develop different secondary sex characteristics, resulting in a more masculine or feminine appearance. Beginning gender-affirming hormone therapy has many similarities to going through puberty. For more specific information, see What are the effects of testosterone? and What are the effects of estrogen?

How expensive is gender-affirming hormone therapy?

It depends on a lot of things, including your transition goals, insurance status and type, income, and other factors. PPGP accepts most major insurances and our financial counselors will work with you to determine how to pay for hormone therapy, whether you have insurance or not.

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.

Although hormones taken in adulthood can help to keep your bones healthy, they can't alter your skeletal shape or your height.

How long will I need to take hormones?

Like many other medications, you'll need to keep taking hormones as long as you want to maintain all of the effects. Some of the effects of hormones are permanent once changes have occurred in your body, and others will revert if you stop taking hormones. If you're interested in starting hormones, your doctor will review with you which changes are permanent and which are not before prescribing any medication.

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.

Although hormones taken in adulthood can help to keep your bones healthy, they can't alter your skeletal shape or your height.