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Gender-Affirming Care Program

PPPSGV proudly provides gender-affirming health care to transgender, nonbinary, and gender-expansive folks. Gender-affirming care goes far beyond hormone therapy. We are committed to providing high-quality, respectful, and compassionate sexual health care. 

Available at the following locations: Alhambra, Baldwin Park, Highland Park, Glendora & Pasadena!

Gender-Affirming Services:

Estrogen/Anti-Androgen Hormone Therapy 

We provide prescribed estradiol in the form of pills, patches, or injections, along with spironolactone as a pill. 

This service is sometimes known as "feminizing" hormone therapy. 

Testosterone Hormone Therapy

Testosterone at our health centers can be prescribed as a topical gel or injection. 

This services is sometimes known as "masculinizing" hormone therapy.

Case Management

Our Patient Navigator can provide wrap-around care management services to connect patients with resources they may need. 

Resources include: 

  • Gender marker 
  • Support letters for gender-affirming surgeries (also known as top and/or bottom surgery) 
  • Legal name change 

Your Body, Your Care

Your clinician will talk to you about your personalized health care plan to ensure that you can be the healthiest and most authentic version of yourself.

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What to Expect:

  • At your first visit, you and your clinician will review the informed consent process, discuss the risks and benefits of hormone therapy, as well as fill out a comprehensive medical history.

  • Your clinician will perform routine lab work to ensure you are eligible to begin care.

  • Once you begin hormone therapy, you will be required to come in at 3, 6, and 12 months, and then annually for routine lab work.

  • We take pride in offering holistic sexual health care for individuals of all genders. In addition to addressing your hormone therapy needs, our dedicated team will suggest additional services you might qualify for, including STI/STD screening, PEP/PrEP, preventive cancer screenings, and immunizations.

Patient Testimonials

“The quality of gender-affirming health care at PPPSGV is the best that I’ve had in the greater Los Angeles area.”

"PPPSGV provide the best access to culturally competent Trans health care."

"As a trans person going through a hormone therapy it's been very complicated. However, the clinicians at Planned Parenthood have done a wonderful job of informing me with everything I need to know, as well as offering resources to help with trans care."

"I've been telling other trans people I know about planned parenthood. It's an essential resource for younger trans people."

Payment & Insurance

Medi-Cal

Our health center accepts Medi-Cal. 

Private Insurance

We can work with you to assess if your private insurance will cover the cost of our services. 

Paying Cash

For individuals paying cash, we offer a sliding fee scale, based on your family size and income. We can also provide you with information on how to apply for Covered California and Medi-Cal insurance.  

Gender-Affirming Community Resources

Find local resources in Los Angeles & the San Gabriel Valley including:

  • Apparel and Grooming Resources
  • Employment Resources
  • Food Resources
  • Support Group Resources
  • Surgical Transition Resources
  • More!
Learn More

Frequently Asked Questions (FAQ)

Whar are some possible changes I might notice on estrogen? 

For people who are 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. Changes can vary from person to person. They can depend on age, genetics, and more. It is essential to be patient and careful with your body once you begin.  

What are some possible changes I might notice on testosterone?

With testosterone, some common changes reported are oily skin, more facial/body hair, scalp hair loss, increased muscle mass, and body fat distribution, clitoral enlargement, deepening the voice, higher sex drive, and cessation of menses (periods may stop). Changes can vary from person to person. They can depend on age, genetics, and more. It is essential to be patient and careful with your body once you begin. 

What if I am not comfortable with a self-injection method?

We offer education at the initial visit on how to self-administer the medication correctly, but if you are a patient who needs medication injected and aren’t comfortable doing so, you may schedule appointments with a clinician or a registered nurse so that they can administer the medication for you. There may be a fee associated with an injection-only visit.  

How old do I need to be to receive hormone therapy?

We currently offer hormone therapy to people 18+ and older. If you or someone you know is under 18 and interested in learning more about hormone therapy, you can contact us and we can help you find the appropriate resources.  

Can I still get pregnant or get someone else pregnant while on hormones?

Although hormones may not affect everybody in the same way, for folks taking testosterone, there is potential risk of infertility. However, some people continue to ovulate and there is still a risk of pregnancy, especially in the early months of starting testosterone. If you are at risk for pregnancy and do not want to become pregnant, you should always use a birth control method to prevent pregnancy.  

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 decrease sperm count.  

Larger scale research on fertility for both estrogen-based and testosterone-based therapy is still in process. , If you are concerned about future fertility, you can discuss the possibility of egg/sperm banking with the Patient Navigator. 

Will I always have to take hormones?

Estradiol and testosterone will need to be taken for changes and effects to continue. However, if you are born male and undergo orchiectomy surgery, spironolactone for testosterone suppression can be stopped. You also may stop the use of hormones at any time, if you decide to.  

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