I offer healthcare that is respectful of you, your sexuality, and your relationships. Patients see me for general care for themselves and their families and households.
Some in-house STD testing is available in the practice. I do not at this time offer rapid screening for HIV. PrEP prescriptions are available.
I offer general healthcare for transgender and gender-non-conforming individuals that respects gender identity. I also offer transgender medicine – gender-affirming hormone replacement therapy for individuals who wish to transition medically. I work with patients who do not identify with the gender binary as well.
In general, I work with an informed consent model for adults. However, hormones are never prescribed on the first visit and I do not guarantee that hormones will be prescribed. At times I will talk with a client about working with a therapist before moving forward with medical transition. This is usually in cases where there are other issues (social, mental, or emotional) that may require extra support during transition. And at times, individuals may have health issues that need to be addressed before medical transition.
I am sometimes asked if there is a “natural” way to transition without hormones. The short answer is “no”, if by “natural” you mean “herbs or supplements”. The standard, commercially available hormones used for transition are essentially bio-identical to what the body makes, and thus (in my opinion) are a natural way to transition. I do support patients in transitioning in a healthy and successful manner using both conventional and integrative approaches as appropriate.. If you are also struggling with concerns such as weight issues, chronic illness, tobacco or substance use, mood disorders, anxiety or insomnia – transition can be an excellent time to make a fresh, healthy start.
If you are looking for general health care for your transgender and gender non-conforming child, I provide general health care that is sensitive to your child’s gender expression. At this time, I am not implanting puberty blockers. I do provide hormonal transition therapy for late adolescents. Adolescents are asked to work with a mental health professional to guide them and their families before starting hormone therapy.