Blocking natural testosterone production in the body through anti-androgen medications and adding estrogen and/or progesterone to induce breast growth, skin softening, fat redistribution and emotional/psychological changes to better align with one’s gender identity.
Adding testosterone to induce facial and body hair growth, voice changes, fat redistribution, stopping monthly periods, and emotional/psychological changes to better align with one’s gender identity.
Arrive at the health center and check-in
When you arrive for your appointment, you will answer some questions and fill out some additional paperwork for your medical record.
We want to affirm you at every step of the process, so please let us know what you would like to be called, even if it’s different from your legal name. If necessary, we will keep your legal name on file for insurance and prescriptions.
Meet with our team to review your medical history
A Reproductive Health Assistant will take you back into the exam room to complete your initial intake. They will ask you questions about your medical history, including whether you’ve ever been on hormones before or if you’ve had any surgeries.
We only ask questions that are relevant to your care with us and you are welcome to skip any questions you don’t want to answer.
Meet your provider to discuss your transition goals
Your provider will review your intake and medical history and discuss your transition goals with you. Together, you will review PPIL’s Informed Consent and your provider will answer any questions you have. Once you sign the consent, your provider will send your medication to your preferred pharmacy.* Physical exams are not a routine part of GAHT care at PPIL.
Meet with our social services team (optional for adults 18+)
If you're16 or 17, you'll meet with our Behavioral Health team before seeing a medical provider. The clinician will discuss Gender Affirming Hormone Therapy and assess if further support is needed. All legal guardians must attend this visit and the first clinical appointment to sign a medical consent.
Adults 18+ can schedule optional appointments with a Behavioral Health clinician to ask questions and access mental health support or GAHT resources, even if receiving hormone therapy isn't part of affirming your gender.
Return for follow-up care
In your first year of care, you should plan for 4 visits, with blood work:
your first appointment,
a 3-month follow-up,
a 6-month follow-up, and
a 12-month follow-up.
Frequency of visits may change based on your medical history, your medications, and the results of your blood tests.
* Some insurance companies require additional paperwork and information to be submitted for certain GAHT medications which may delay when you can pick up your medication, and might limit what medications you can get using insurance. Some pharmacies may not keep certain GAHT medications in stock and will have to special order them, which may delay pick-up. Certain medical conditions can increase the risks of some GAHT medications; if you have these condition(s), your provider will work with you to minimize risk while affirming your gender. Reviewing your medical records and coming up with the best possible plan may sometimes cause a delay in prescribing, but most patients will receive a prescription at their first medical visit.
Or call 1-800-230-7526