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Care that respects and affirms your gender

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

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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Get Ready For Your Appointment

Before your first appointment about getting on hormone therapy, you'll need to read these important things

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 hormones from another doctor, you'll still need to read this.

Effects of Feminizing Hormone Therapy

This tells you all about the physical changes to expect from your hormones, including how long it will take and which ones are permanent and which aren't.

Effects of Masculinizing Hormone Therapy

This sheet tells you all about the physical changes you can expect from your hormones. It includes how long the changes will take and which ones are permanent and which ones aren't.

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 gender affirming hormone therapy?

Planned Parenthood Keystone (PPKey) understands that sexual health care includes having access to gender affirming services. 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 use to assist them in their gender journey . 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 hormone treatment through us. At those appointments, we'll do routine lab work and check how the medication is working, and we'll refill your prescription. If you feel like you need to come in sooner, feel free to book an appointment or check in with a Patient Navigator.  

What if I am not comfortable with self-injection?

At your first visit, we'll teach you how to do the injections yourself, but if you really aren’t comfortable with that, you can always schedule appointments with our team so that they can do the injections for you.   

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

That depends on what prescription you're given. We have estrogen and anti-androgen medications at our health centers, but for testosterone, you'll have to take your prescription to a pharmacy.

We have pharmacies close by that you can visit and will have hormones and supplies in stock, and sometimes the prescription can even be sent to your home (talk to the clinician and Patient Navigator for more information about that).

We also recommend GoodRX. They will provide you with what you 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 use hormones without a doctor to help monitor your progress.

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

Testosterone - Hormones don't affect everybody in the same way, but for folks taking testosterone, there is a potential risk of infertility. However, it's important to know that some people continue to ovulate, so there is still a risk of pregnancy — especially in the early months of starting testosterone. Because of this, you should always use birth control if you want to prevent pregnancy. 

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

If you're worried about fertility problems and are thinking of having children in the future, you can talk with our Patient Navigators and clinician about the possibility of egg/sperm banking.   

It's also really important to note that hormones do not protect against STIs/STDs and HIV, so you should still be using things like condoms to prevent STIs/STDs and HIV. 

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

Everyone’s bodies may react differently to taking hormones. Some people notice changes faster than others, and some people say their changes are slower than others. Some people see more changes occurring than most people and others see different changes then they were expecting. These differences are a combination of the hormone medications and genetics of each person.

Also, it's common for transfeminine folks who have not yet had an orchiectomy (removal of the testicles) to take anti-androgens. Anti-androgens help block the effects of testosterone in the body so that estrogen medications can work better to develop feminine secondary sex characteristics.  

For people taking estrogen and anti-androgens, some changes to expect can include breast growth, testicular atrophy, lowered sex drive, changes in mood, and changes to where your body stores fat.  

We also have a separate chart of possible changes if you would like to learn more. Ask our clinicians or Patient Navigators about it.

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

Like we just mentioned, everyone’s bodies may react differently to taking hormones. Some folks say they see faster changes that others, or that the changes they were expecting to happen didn’t. It's 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 changes to where your body stores fat. You could also see clitoral enlargement, deepening of the voice, higher sex drive, and no more periods.

We also have a separate chart of possible changes if you would like to learn more. Ask our clinicians or Patient Navigators about it.

Will my insurance cover my hormone therapy?

Different health insurance plans cover different things, and that includes gender affirming hormone therapy. You can talk with our Patient Navigators at 267-688-3570 for more information on your coverage and fees. 

What if I don’t have insurance?

PPKey provides these services on a sliding fee scale. How much you pay is based on your family size and income. We can also provide you with information on how to apply for Medicaid. 

How can I pay for my hormone therapy?

In addition to commercial insurance, we also accept State Medicaid (Pennsylvania only) and cash, check, credit card, or debit card.

Besides hormone treatment, what other services does PPKey offer to transgender, non-binary, and gender non-conforming patients?

Our gender affirming care includes hormone therapy and wrap around services. Our Patient Navigator can help connect you to other services in the community. To talk to a Patient Navigator, you can give them a call at 267-688-3570. 

All of 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 services, and more. 

No Assumptions. Just Care.

Kate Bornstein Has Some Awesome News For The Trans and Non-Binary Community In Pennsylvania Kate Bornstein Has Some Awesome News For The Trans and Non-Binary Community In Pennsylvania

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.