Planned Parenthood of the St. Louis Region and Southwest Missouri has an amazing transgender care team ready to serve you and meet all of your health care needs. Planned Parenthood provides the full range of reproductive health care services for the gender expansive community. In addition to hormone therapy and other gender affirming care, we provide transgender competent reproductive health care including pap tests, tubal ligation, vasectomy, cancer screenings, and much more. If you’re considering gender-affirming hormone therapy, then you’ll likely work with many of the terrific staff members showcased below.
Meet Dr. McNicholas
Colleen McNicholas, MD, FACOG (she/her/hers) is the Chief Medical Officer and program co-director for TRANSforming Community, TRANSforming Care. Dr. McNicholas brings more than 10 years of experience to the organization as an obstetrician-gynecologist with a strong track record of high-quality patient care and compassionate reproductive health advocacy. Dr. McNicholas previously served at the Washington University School of Medicine, where she was an attending physician, associate professor and director of the Ryan Residency Collaborative.
Sayer Johnson (he/him/his) is the Executive Director and co-founder of the Metro Trans Umbrella Group, a grassroots non profit dedicated to providing social emotional support for transgender adults in the St. Louis metro region. He is also the founder of The Trans Queer Flat, an affordable, affirming housing option for transgender adults. Sayer is also the producer and assistant director of TransGeek Movie, a documentary exploring the intersection of gender identity and geek culture. Sayer is the co-director of PPSLRSWMO’s TRANSforming Community, TRANSforming Care.
He is a proud, out, queer transgender man, papi to three kiddos and lifelong organizer. He has dedicated this part of his activist life to building power for transgender adults.
Meet Dr. Baum
Margaret Baum, MD, FACOG (she/her/hers) is a St. Louis native and the Associate Medical Director at Planned Parenthood of the St. Louis Region and Southwest Missouri, providing gynecologic services, abortion care, and transgender care in Missouri and Illinois. She attended St. Louis University for undergraduate education receiving degrees in English, Biology and Women’s Studies. She earned her MD at The Johns Hopkins University School of Medicine. Her internship in Obstetrics and Gynecology was completed at the University of Texas Southwestern and her residency at Washington University School of Medicine in St. Louis. She practiced as a general gynecologist while providing family planning services for 15 years in St. Louis. She has worked and operated around the world including in Uganda, China, and the Philippines.
Carla Lantz (she/her/hers) is the Lead Clinician for gender-affirming hormone therapy. Carla’s nursing career has spanned over 26 years and has focused on providing reproductive health care and education to members of traditionally underserved communities. She believes health care is a partnership, and with scientific backed education and support, patients are able to make decisions about their health and become more confident in their bodily autonomy.
Carla has worked in a partnership with AIDS Project of the Ozarks in southwest Missouri. APO’s medical director, Stephen Adams, MD, joined Carla’s SWMO collaborating physician and was able to start providing trans competent well-person care and reproductive health care. Carla’s care philosophy, which stresses education, bodily autonomy and the value of all people, has been a natural fit for providing health care to patients who are trans.
Carla and her wife, Dena, live in Springfield, MO. They are moms to two mostly adult humans and two and a half almost human fur babies. They enjoy road trips, Broadway show tunes and avoiding crowds of people.
Kimberly Schroeder (she/any/all) is TRANSforming Community, TRANSforming Care’s Implementation and Community Research Specialist. She is a data enthusiast with 10 years of experience in program development, evaluation, analytics, and advocacy. Her work is rooted in the belief that data should be fun, meaningful, easy to understand, and actionable. She has a master’s in social work and is currently pursuing a PhD.
The TRANSforming Community, TRANSforming Care initiative is particularly personal work. As someone with a transgender spouse, she’s seen first-hand how stressful and emotionally exhausting it is to navigate transitioning, both socially and medically - especially given the limited health care options and avenues for LGBTQIA+ support in Missouri.
Outside of work, she does her best to keep life interesting by doing unconventional things like teaching creative writing at a federal prison, jumping out of planes, kayaking in the flooded basement of a soon-to-be brewery, and once inexplicably reading 21 books in a single month.
Nick Harris (he/him/his) is the Program and Case Manager for TRANSforming Community, TRANSforming Care. He received his Bachelor's degree from University of Missouri-St. Louis in 2013 and his Masters of Social Work degree from Saint Louis University in 2017 with an emphasis on providing quality clinical care to populations within systems. He is currently working toward completing competence trainings and certifications from the World Professional Association of Transgender Health (WPATH) to serve the transgender, non-binary, and gender non-conforming population.
Nick is also currently pursuing a Masters of Public Health degree to continue his work with marginalized groups in health care. In Nick’s personal time, he enjoys live music, cultivating his own green thumb, and new bowties for his cat Porkchop.
Willow Rosen (they/them) has been working for well over a decade in the field of reproductive health care and family building. Their work has taken the form of birth support, abortion support, sexual health and childbirth education, and professional trainings. In this latest role at Planned Parenthood of the St. Louis Region and Southwest Missouri they are excited to work as the Education & Care Support Specialist and an enthusiastic member of the TRANSforming Community, TRANSforming Care team. While their experience in creating curricula will come in handy, their passion and commitment to expanding available resources and education for the gender expansive community is what guides their work.
Ashton Otte (she/her/hers) is the Patient Navigator for TRANSforming Community, TRANSforming Care. Born in St. Louis, Ashton has a strong passion for activism and building equity. As a trans woman, she’s been involved in the queer community for some time and is invested in the ways we can help our community overcome the barriers to health care and more.
Her own experience with medical transition led her to our team with a strong drive for change. Being able to influence the ways the trans community is treated locally and potentially even nationally is something that keeps her moving. Well that, and Pokémon GO.
Beth Gombos (they/them) is the Outreach Coordinator at the Metro Trans Umbrella Group (MTUG) and has been involved in uplifting the transgender community since 2013. They graduated with a BFA in Cultural Anthropology from SIU Edwardsville in 2016. They are transgender, genderqueer, nonmonogamous, pansexual, and have been growing their community development skills for over 15 years. Beth has worked at MTUG in an official capacity since Fall 2019 where they have been doing outreach work and operating MTUG headquarters in South St. Louis.
Lance Cox (he/him/his) is the Research Assistant for TRANSforming Community, TRANSforming Care. In 2016, he earned his Bachelor's Degree in Cultural Studies from Columbia College Chicago. Lance's undergraduate career provides the thread that runs through all of his experience: an ongoing analysis of the intersection of culture and structural power. From this lens, Lance has built inclusive policies, facilitated trainings, presented at national conferences, and consulted with organizations seeking culture change. Ultimately, Lance is deeply focused on building the kind of world he wants to live in — one where everyone has what they need. He is thrilled to bring this perspective with him to Planned Parenthood and the TRANSforming Community, TRANSforming Care team.
Lance is also a dog trainer, hiker, rock climber, trans history nerd, Dead by Daylight enthusiast, former law student, and pen pal to folks subject to incarceration.