Go to Content Go to Navigation Go to Navigation Go to Site Search Homepage

Gender-Affirming Hormone Therapy

Planned Parenthood offers gender-affirming hormone therapy to transgender and gender non-conforming patients. Care is available both virtually and at select health center locations. Financial assistance for hormone therapy is available for those who qualify.

Planned Parenthood also offers some gender affirming surgeries to patients in the St. Louis area and refers to other providers when needed.

TRANSforming Community, TRANSforming Care

View all our services available to the gender expansive community through the TRANSforming Community, TRANSforming Care program.

Learn more

WPATH Membership

Planned Parenthood of the St. Louis Region and Southwest Missouri is a proud member of the World Professional Association for Transgender Health.

Hormone Replacement Therapy

We offer hormone replacement therapy to patients 16 years and older. If you are 16 or 17, there are additional requirements. You will need to have a parent or guardian with you during your visit. In compliance with Missouri SB 49, starting August 28, 2023, minors looking to start gender-affirming hormone therapy can no longer be seen in Missouri, but can make an appointment at our Fairview Heights, Illinois, health center. Patients needing support getting to their appointment in Illinois can contact our Regional Logistics Center at 618-607-5080. 

You don’t need to participate in therapy or provide information from a mental health provider to receive hormone therapy. You can book an appointment by calling 314-531-7526. At your first visit, a Planned Parenthood clinician will:

  • Review your medical history, including your sexual and surgical history and current health practices
  • Measure your weight and blood pressure
  • Discuss your transition goals
  • Draw your blood to watch for potential side effects of hormones
  • Explain how to take hormones and answer any questions you might have

If hormone therapy is a good fit for you, you'll receive a prescription that you can take to a pharmacy. In addition to gender affirming hormone therapy, Planned Parenthood welcomes patients of all genders and identities to access our wide range of health care services.

Gender-Affirming Hormone Therapy: In-Clinic

Location

You will see a clinician at our health center. Your visit will be between 1-2 hours. Please arrive 15 minutes before your scheduled appointment. We expect all of our team members will be respectful of you, but please let us if our language or behavior harms you.

Important Information

We use an informed consent model to initiate gender affirming care. Although we support our patients engaging with mental health specialists as needed, we will NOT require you to produce a letter of support from that provider.

Pre-Visit Information

If you are a new patient, the Case Manager will be contacting you by phone prior to your appointment to go over important information regarding your visit, including possible insurance coverage, fees, and paperwork to fill out.

During Your Visit

The clinician will ask about your medical history and review all your medications. They will ask you to share a little about your journey with gender as well as your hopes, dreams for goals for treatment. They will discuss the risks and benefits of treatment in the context of all of those things. Together you will decide what treatment plan is right for you.

After Your Visit

If you are prescribed medication, your prescription will be sent to a pharmacy of your choosing. If your insurance does not cover your medication, pharmacy discount programs like GoodRx.com can be helpful. Please let us know if you anticipate difficulty accessing your medication.

We may recommend lab testing. This is done with a blood draw.

If you are prescribed an injectable medication, we will teach you how to do self-injection.

Payment

Not all insurance covers gender affirming care, and not all patients want to use or even have insurance.

The self-pay fee for a visit will be $250 plus additional cost for labs. For a follow up visit, it will be $200 plus additional cost for labs if needed.

If you anticipate having difficulty paying for your care, please let the Case Manager know before your appointment. Financial assistance may be available.

Payment, including co-payment will be collected by credit card or cash at the start of your visit.

Gender-Affirming Hormone Therapy: Telehealth Appointment

Location

This is a virtual visit. You will see a provider via video from your location. You will receive a link via email and/or text message before your appointment. If you have not received this link by an hour before your appointment please call 314-531-7526

To start your appointment, click on the link 5 minutes before your appointment.

Important Information

We use an informed consent model to initiate gender affirming care. Although we support our patients engaging with mental health specialists as needed, we will NOT require you to produce a letter of support from that provider.

Pre-Visit Information

If you are a new patient, the Case Manager will be contacting you by phone prior to your appointment to go over important information regarding your visit, including possible insurance coverage, fees, and paperwork to fill out.

During Your Visit

The clinician will ask about your medical history and review all your medications. They will ask you to share a little about your journey with gender as well as your hopes, dreams for goals for treatment. They will discuss the risks and benefits of treatment in the context of all of those things. Together you will decide what treatment plan is right for you.

After Your Visit

If you are prescribed medication, your prescription will be sent to a pharmacy of your choosing. If your insurance does not cover your medication, pharmacy discount programs like GoodRx.com can be helpful. Please let us know if you anticipate difficulty accessing your medication.

We may recommend lab testing. This is done with a blood draw.

If you are prescribed an injectable medication, we will teach you how to do self-injection.

Payment

Not all insurance covers gender affirming care, and not all patients want to use or even have insurance.

The self-pay fee for a visit will be $250 plus additional cost for labs. For a follow up visit, it will be $200 plus additional cost for labs if needed.

If you anticipate having difficulty paying for your care, please let the Case Manager know before your appointment. Financial assistance may be available.

Payment, including co-payment will be collected by credit card or cash at the start of your visit.

How to Perform a Subcutaneous (SubQ) Self Injection

How to Perform a Subcutaneous (SubQ) Self Injection

This video goes over everything you need to know about doing a subcutaneous (SubQ) self injection, from the supplies you need to preparing the syringe and injecting the medication.

SubQ Injection Video Transcript – English

SubQ Injection Guide – English

How to Perform a Subcutaneous (SubQ) Self Injection – Spanish

How to Perform a Subcutaneous (SubQ) Self Injection – Spanish

SubQ Injection Video Transcript – Spanish 

SubQ Injection Guide – Spanish

How to Perform a Intramuscular (IM) Self Injection

How to Perform a Intramuscular (IM) Self Injection

This video goes over everything you need to know about doing an intramuscular (IM) self injection, from the supplies you need to preparing the syringe, performing the injection and disposing your materials.

IM Injection Guide – English 

How to Perform an Intramuscular (IM) Self Injection – Spanish

How to Perform an Intramuscular (IM) Self Injection – Spanish

IM Injection Video Transcript – Spanish

IM Injection Guide – Spanish

Planned Parenthood cares about your data privacy. We and our third-party vendors use cookies and other tools to collect, store, monitor, and analyze information about your interaction with our site to improve performance, analyze your use of our sites and assist in our marketing efforts. You may opt out of the use of these cookies and other tools at any time by visiting Cookie Settings. By clicking “Allow All Cookies” you consent to our collection and use of such data, and our Terms of Use. For more information, see our Privacy Notice.

Cookie Settings

Planned Parenthood cares about your data privacy. We and our third-party vendors, use cookies, pixels, and other tracking technologies to collect, store, monitor, and process certain information about you when you access and use our services, read our emails, or otherwise engage with us. The information collected might relate to you, your preferences, or your device. We use that information to make the site work, analyze performance and traffic on our website, to provide a more personalized web experience, and assist in our marketing efforts. We also share information with our social media, advertising, and analytics partners. You can change your default settings according to your preference. You cannot opt-out of required cookies when utilizing our site; this includes necessary cookies that help our site to function (such as remembering your cookie preference settings). For more information, please see our Privacy Notice.

Marketing

On

We use online advertising to promote our mission and help constituents find our services. Marketing pixels help us measure the success of our campaigns.

Performance

On

We use qualitative data to learn about your user experience and improve our products and services.