Many gynecologists have not been trained in providing care or hormone therapy for transgender patients.
Transgender patients may need hormone therapy to achieve their health goals.
Once hormone therapy is begun it may mean monitoring.
For most patients, routine health screenings are not changed, whether you are transgender or identify as not transgender.
Organizations such as the World Professional Association For Transgender Health (WPATH) WPATH World Professional Association for Transgender Health have begun providing standards, trainings, and resources for gynecologists who care for the transgender patient.
Although there are many complexities to hormone management, and these should be discussed with your individual health care provider. But as a basic strategy, hormone therapy for transgender men who desire medical transition, the goal of testosterone therapy would be to maintain testosterone levels within the cisgender male physiologic range which is 300-1000 ng/dL. There are a variety of ways to administer testosterone therapy.
Transgender women may require estrogen therapy, in addition to anti-androgen therapy, as estrogen therapy alone will not typically achieve feminizing characteristics that are satisfying for clients.
Hormone therapy is always affected by a patient’s nutritional status, your exercise level, the level of thyroid hormone, and other medications; as well as other factors such as genetics and age. At Women’s Health Practice we want clients to think globally about their health and wellness, regardless of their hormonal goals.