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Care that respects and affirms your gender

From birth control to wellness visits— and soon hormone therapy — our staff are here to provide expert care in a way that affirms your gender identity.

Gender Affirming Hormone Therapy Starts November 1st!

Online booking is up and running, schedule your first appointment online or  contact our patient navigators to discuss what the next steps for you are.

Connect With A Patient Navigator Or Book Your First Visit

You can now book online to meet with a clinician about hormone therapy.

Not sure you're ready to start? Talk to our patient navigators about your next steps. Use the buttons below to book a clinical visit or call or email a patient navigator.

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No Assumptions. Just Care.

No Assumptions. Just Care.

We know that sometimes going to get health care can seem daunting.

Maybe you've been misgendered by a doctor before. Maybe your last visit made you uncomfortable telling the truth about your partner because you were afraid it would mean your provider would make assumptions about you.

Our health centers provide education, support, and non-judgmental sexual and reproductive health services for transgender, gender non-conforming, non-binary, and gender queer people.

Planned Parenthood Keystone's Mission is to provide care that truly makes you feel seen and heard.

Our staff are trained to ask questions instead of making assumptions. So you can feel comfortable sharing all you need to in order to get the care that's right for you.

Get Ready For Your Appoinment

Before your first appointment about getting on hormone therapy, please review these important fact sheets

Getting Ready for your Appointment — Read Me First!

This download tells you what to expect from Planned Parenthood Keystone's hormone therapy services. Even if you're already on hormone therapy and are just seeing us for prescription management, you'll need to read this.for anyone who is already Information includes how to prepare for your first appointment, payment information, and your follow up care plan.

Effect of Feminizing Hormone Therapy

Review the physical changes you can expect, the timeline in which you are likely to see changes, and what changes are permanent or reversible.

Effects of Masculinizing Hormone Therapy

Review the physical changes you can expect, the timeline in which you are likely to see changes, and what changes are permanent or reversible

How To Get Your Blood Pressure Reading

We'll need you to provide a blood pressure reading at your first appointment and for any follow up visits done through telehealth. This download has some suggestions for where you can go to get these measurements.

Getting Lab Work Done

This download walks you through getting your labs done at your local Labcorp. You can also make an appointment to get your labs at one of our health centers— that's in here too. 

Preparing For Your Injections

This is the info you'll need to give yourself the injections. This download will also give you options for where to get your injection supplies.

Injection Guide

Hormones in hand and ready to go? This guide will walk you through the injection process.

Hormone Therapy FAQs

Why is Planned Parenthood offering Trans Care? 

Planned Parenthood Keystone (PPKEY) understands that sexual health care includes having access to trans health care. As the most trusted provider of sexual and reproductive healthcare, PPKEY's vision is to provide non-judgmental, inclusive, evidence-based health care to transgender, gender non-conforming and non-binary individuals, and to empower them on their journey in becoming the healthiest, most authentic version of themselves. 

What is Hormone Therapy? 

Hormone therapy is one way for transgender, gender non-conforming, and non-binary individuals to feel more like the gender they identify with. Some folks may feel like their body does not reflect their gender identity. Hormone therapy is one of many options folks can. It is almost like a second puberty where your body will undergo changes to your primary and secondary sex characteristics. It is important to note that not all transgender, non-binary, and gender non-conforming folks will want to undergo hormone therapy, and that is ok. Their identities are valid. 

How old do I have to be to receive hormones from PPKEY? 

At this time, we can only see patients who are 18+ years or older. If you or someone you know is under 18 and is interested in learning more about hormone therapy, you can contact our Patient Navigators at 267-688-3570. They can help find resources. 

What hormone therapy options do you offer at PPKEY? 

We have both “feminizing” and “masculinizing” hormone treatments available with our services. That includes testosterone, estrogen, and anti-androgens. Your clinician will talk to you about what options would feel right for you. 

What will my appointments include? 

Before your appointment, please review the materials on our website. This will help prepare you to answer the questions our team will ask during your visit.  Your initial appointment will cover informed consent, health background check, as well as well as instructions on medication and treatment.  We then ask patients to come back at 3, 6, and 12 months, and once a year after, if you choose to continue taking hormone treatment at our affiliate. At those appointments, we will conduct routine lab work and will be monitoring how the medication is working, and we will refill your prescription. If you feel you need to come in sooner, you can book an appointment or check in with the Patient Navigator.  

What if I am not comfortable with self-injection? 

We do offer education at the initial visit on how to self-administer the medication properly, but if you are a patient who needs medication injected and aren’t comfortable with doing so, you may schedule appointments with our team so that they can administer the medication for you.   

If I choose hormone therapy, how will I get my medication?  

That will depend on the prescription you are given. We will have estrogen and the anti-androgen medication at our clinics. For testosterone, you will have to take the prescription to the pharmacy. We have pharmacies close by that you can visit and will have hormones and supplies in stock, as well as send the prescription to your door (talk to the clinician and Patient Navigator for more information). We also recommend GoodRX. They will provide you with what you will need to bring to the pharmacy to get their discounted rates. 

Please do not buy or sell hormones online or from other people. It is very dangerous to administer hormones without a doctor to help monitor your progress. 

Can I still get pregnant/get someone pregnant while on hormones? 

Although the treatment may not affect everybody in the same way, for folks taking testosterone, there is a potential risk if infertility. However, while testosterone may make you infertile, some people continue to ovulate and risk of pregnancy, especially in the early months of starting testosterone. You should always use a birth control method to prevent pregnancy, so you’ll want to use condoms every time you have sex. 

The risk of infertility also comes with taking estrogen. Although changes from hormones are theoretically reversible, not enough research with fertility has been done once someone stops taking estrogen. One effect of taking estrogen and anti-androgens is that they make it harder to produce sperm.  

If you are worried and are thinking of having children in the future, we can discuss the possibility of egg/sperm banking with the Patient Navigator and clinician.   

Hormones do not protect against STI/STDs and HIV, so you should still be using different forms of birth control methods to prevent STI/STDs. 

What are some possible changes I might notice when taking estrogen? 

Everyone’s body may react differently to taking hormones. Some people have reported changes faster than others, some slower, some saw more changes occurring, others saw different changes then they were expecting. It is a combination of the hormone medication and genetics of the person. Anti-androgens are also commonly used with transfeminine folks who have not yet had an orchiectomy. These medication helps block the effects of testosterone in the body to allow the estrogen to develop feminine secondary sex characteristics.  

We also have a separate chart of possible changes if you would like to learn more. 

What are some possible changes I might notice when taking testosterone? 

Like we just mentioned, everyone’s body may react differently to taking hormones. Some folks reported faster changes, or that the changes they were expecting to happen didn’t. It is good to check in with your clinician at your checkups to ask about these changes. With testosterone, some common changes reported were oily skin, more facial/body hair, scalp hair loss, increased muscle mass, and body fat distribution, clitoral enlargement, deepening of the voice, higher sex drive, and cessation of menses. For people taking estrogen and anti-androgens, some changes to expect can include body fat redistribution, including breast growth, testicular atrophy, lowered sex drive, and changes in mood.  

We also have a separate chart of possible changes if you would like to learn more. 

Will my insurance cover trans health care? 

Different health insurance plans cover different things, and that includes trans health care. We are currently taking Medicaid as well as cash-pay. You speak with our Patient Navigators at 267-688-3570 for more information on your coverage and fees. 

What if I don’t have insurance?  

PPPKEY provides these services on a sliding fee scale, based on your family size and income. We can also provide you with information on how to apply for Medicaid. 

Apart from hormone treatment, what other services does PPKEY offer to transgender, non-binary, and gender non-conforming patients? 

Our Trans Care includes hormone therapy and wrap around services. Our Patient Navigator can help link you to other services in the community. You can give them a call at 267-688-3570. 

All our other services are open to everyone along the gender spectrum as well. That includes birth control, STD/STI testing & treatment, HIV testing, PrEP & PEP, breast/chest & cervical cancer screening, colposcopy & LEEP procedures, HPV vaccine, emergency contraception, pregnancy testing, abortion care, and more.