"The World Professional Association for Transgender Health (WPATH), formerly known as the (Harry Benjamin International Gender Dysphoria Association (HBIGDA), is a 501(c)(3) non-profit, interdisciplinary professional and educational organization devoted to transgender health. Our professional, supporting, and student members engage in clinical and academic research to develop evidence-based medicine and strive to promote a high quality of care for transsexual, transgender, and gender-nonconforming individuals internationally. We are funded primarily through the support of our membership, and through donations and grants sponsored by non-commercial sources."
Visit Frequency: Once
Average Duration: 1 hour
Visit Expectations: For the first visit, we typically complete intake procedures where we discuss your story and the journey that brought you to the office.
After your intake, we go over the typical medications that are used throughout the transition process; as well as side effects, and risks versus benefits. We review your overall health history and determine if there are any immediate barriers to providing hormone therapy (usually, there aren't). We also go over a handout that lists permanent changes versus temporary changes and answers any questions you may have after your visit.
From there, Dr. M will conduct a modified physical, order and collect the appropriate lab work for baseline values, and rule out any underlying conditions that we may need to monitor throughout your transition. Most of the time, medications can be prescribed at this visit so long as the you and Dr. M are comfortable doing so.
Congratulations, you've reached the end of your first visit! While wrapping things up, we'll make an appointment for your 3-month follow-up visit.
For feminization, we typically start with Estradiol pills that will be taken twice a day. We also use a Testosterone Blocker, such as Spironolactone, twice a day.
For masculinization, we typically start with intramuscular Testosterone injections once a week.
Visit Frequency: Every 3 months
Average Duration: 30-45 minutes
Visit Frequency: Every 6 months
Average Duration: 45 minutes - 1 hour