The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. This includes supportive therapy for children, adolescents, and adults who are in the early stages of exploring/questioning their gender identity, as well as assessment and letter-writing for clients pursuing hormones and/or surgery. 2001-2022 Oregon Health & Science University. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. Guide you through the consent process, which can be complex. Information and support from welcoming professionals and peers. We have a gender affirmative approach to treatment. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. I write letters of support for those seeking gender affirming care. If you have a visit for gender-affirming hormones at our clinic, you may be given an informed consent form to sign that explains the risks, benefits, and other important details about the medications. MA in Marriage, Couple and Family Therapy. I enjoy working with genderqueer, non-binary, gender-fluid, and gender-nonconforming folks and provide letters to support gender-affirming related care access. They may be prepared for transition mentally, physically and emotionally. I have received academic training on working with gender non-conforming folks as well as my personal life experience. Patients can now choose between either Scottsdale or Portland for surgery dates. Deciding on suppressants involves weighing physical risks against the mental health risks of gender dysphoria, which can include: Long-term effects: Suppressants have been used for decades to treat children who start puberty too early. The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). Background image: THP - Transgender Health Program volunteer Jess G. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaard, Help arranging health care services. More than 100 doctors provide comprehensive, specialized care for you and your family. Most of my clients are transgender and/or non-binary. The group meets quarterly to advise the program about programs and services. I've worked with hundreds of transgender and gender variant people since 2015. Typically, we see patients every three to four months. We do not make appointments or directly provide health care. We offer treatment to patients of all ages with both pediatric and adult services. We will: We will monitor your child throughout treatment. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. Prism Health offers affirming pharmacy services for our community through our on-site pharmacy, or you can receive your prescriptions directly to your home through mail-order! Providers : Hillsboro Medical Center - Tuality We will: Get your childs medical history and family history. Hand numbness, tingling or pain can have many causes and treatments. Some teens may go on to transition with hormone therapy or surgery. This allows a longer duration of an electrolysis session with greater clearance of hair. The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. We assess each child individually. I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. We confer monthly with other transgender health programs. I identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. I have experience working with transgender and gender non-conforming children, teens, and adults. We dont require patients to transition socially before starting hormone therapy. Gender Spectrum Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. We welcome concerns, success stories and anything else youd like to share. We dont charge for support, information or patient-education classes. We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). But we can connect you with OHSU providers. And I'm here to write letters to help with accessing medical care too. Some changes, such as to fertility or a deeper voice, may be permanent. LGBTQ+ Veteran Care | VA Portland Health Care | Veterans Affairs Simply stated, our society has not caught up with what it means to identify as a gender other than the one you were assigned at birth. You are invited to our quarterly Grand Rounds. And build relationships that last. We appreciate your patience and will respond to you as soon as possible. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. As a queer person, it is important to me to create space in my practice to serve my community. We recommend starting with a mental health evaluation for your child, which we can help arrange. The THP and OHSUs. Most teens have the maturity to make these decisions by age 16. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Tavistock gender identity clinic is closing: what happens next? . Trans man says denying kids gender treatment is 'transgender genocide' Estrogen and testosterone are hormones that develop some traits and reduce others. Learn more about VA Portland's comprehensive mental and behavioral health program. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. 2236 SE Belmont St Portland, OR 97214 TriMet Stop ID: 408 SE Belmont & 23rd Eastbound Prism Health is a center of excellence for comprehensive, compassionate and culturally affirming healthcare for everyone with the aim of addressing long-standing health disparities in the LGBTQ+ community and promoting equitable access to healthcare. You will also find gender-neutral restrooms across our campuses. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. 1132 SW 13th Ave, Portland, OR 97205 Contact 503.535.3860 transinfo@OutsideIn.org Clinic Hours *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. Delaying puberty has two main goals, according to WPATH: Pubertal suppressants (GnRHa or GnRH) are modified natural hormones that stop your childs body from making estrogen or testosterone. Licensed Pharmacy Technician in the state of Oregon (or ability to obtain licensure within 30 days of employment) Full COVID-19 vaccination is an essential job function of this role. LMFT. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. It causes some of the changes a child goes through in puberty. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. To improve accessibility for his patients in the Pacific Northwest, Dr. Meltzer partnered with Legacy Good Samaritan in 2019 to offer Gender Confirmation Surgery once again in Portland. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. Check our new patient information page to learn what information is needed for your appointment. I continue to provide affirmative care for the community and their families. Help the Transgender Health Program build access to inclusive, affirming health care. What to expect: We usually do not prescribe medications during the first visit. Doernbecher Gender Services | OHSU How they love us, care for us. My practice focuses on queer, trans and non-binary people, including youth ages 14+. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. They treat hundreds of patients a year. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Call (503) 445-7699 to be connected to our answering service. You will also find gender-neutral restrooms across our campuses. Hormone Replacement Therapy | Braeswood Endocrinology TransActive Gender Project - Lewis & Clark College I consider it a privilege to support clients in bridging this conflict to whatever extent they choose, from explorations of identity and experiences through social and medical transitions. As children line up at gender clinics, families confront many unknowns My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. Gender Clinic - NLH It is a great moment. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. I help clients to embrace their identities through coming out, social and medical transition, & more. You don't have JavaScript turned on. Associate Medical Assistant - Heart Clinics and Vascular Health - Portland Rising anxiety: 8 ways to reclaim your calm. Fax: 207-662-5528. They also understand how to pair treatments with the pace and sequence of changes. Primary care: We coordinate with pediatricians and family medicine providers to make sure patients get comprehensive care. See our rate sheet for details on fees. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. Opportunities to help advance our mission by becoming a volunteer or supporter. Job Description. As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community. Learn how to apply. We also recommend that patients and their families get mental health support throughout transition. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. While recovering from surgery in Scottsdale, I ended up having to call Dr. Meltzer in the early morning hours and he knew exactly what it was and made it a point to drop by the hotel later that day. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. Medical Clinic Downtown Portland Clinic 1132 SW 13th Ave Portland, OR 97205 East Portland Clinic 16144 E. Burnside St. Portland, OR 97233 Schedule Appointment or Get Help: 503.535.3860 Fax: 503.535.3868 Se habla espaol Young Adult Support 1132 SW 13th Ave Portland, OR 97205 General Inquiries: 503.535.3800 Fax: 503.223.6837 Se habla espaol The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. Delaying puberty too long may carry risks such as harm to bone density. Treat everyone like family. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. If you have come to help me, you are wasting your time. The Gender Identity Development Service (GIDS) is for children and young people, and their families, who experience difficulties in the development of their gender identity. Members apply to serve two-year terms. We also provide treatment into young adulthood for some patients, and we help them move into adult care. Comprehensive care that includes experts in primary care, hormone therapy and mental health. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Sometimes gender identity is confused with gender expression. Taking several meds or supplements? Transgender Medicine | Top Medical Providers 2022 | Portland Monthly I have worked with people who identify as male, female, transgender, gender neutral, non-binary, agender, pangender, genderqueer and all, none or a combination of these. How can you contact us? The Evidence for Trans Youth Gender-Affirming Medical Care Annual exams and screenings Fertility and family planning Pregnancy care Maternal-fetal medicine (480) 657-7006. for any health care need,such as primary care, mental health care and gender-affirming services. COVID-19 clinic information and resources. Gender Affirmation Surgery - University of Utah The staff is helpful and amazing. Our providers publish papers in academic journals. We usually do not prescribe medications during the first visit. I have experience working with teens and young adults in exploring gender identity. This is not to be confused with 4 treatments. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Twitter content To honor your privacy preferences, this content can only be viewed on the site it originates from. 2022 Cascade AIDS Project, Inc. All rights reserved. Bethany Blvd.Beaverton, OR 97006. But your clinic always operated in a timely manner, and made us feel welcome. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. I want you to feel empowered to show up as your whole self, regardless of the context. Whether youre LGBTQIA+, BIPOC, facing health disparities, at the intersection of these identities, or just want a safe, non-judgmental health-care experience, we are here to help you Shine Brighter! Our drop-in and event space on North Mississippi Avenue is a frequent first stop for new arrivals in Portland, and for longtime residents who are newly out or questioning their sexual or gender identity. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. We'll explore your experience and needs collaboratively and compassionately. If you have any questions about our transgender and gender diverse services, you can email us attransinfo@outsidein.orgor call503.535.3860and select the option 6 to speak to the Transgender Services Coordinator. Located inside the new Equality Community Center at 15 Casco St in Portland, ME, Safe Combinations is a project of MaineTransNet. As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. Our Transgender Clinic's Vision Is a world where gender variant people can embrace their gender identity, free from discrimination and prejudice. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. Review treatment options, and their benefits and risks. Transgender Resources - The University of Vermont Health Network Basic patient care needs will be met though both administrative and clinical duties. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. The group meets quarterly to advise the program about programs and services. Your partner in inclusive, affirming health care, Request for Transgender Health Services referral form, talk about transitioning as a new employee, Dedicated clinics for gender-diverse care, Half of transgender patients leave home state for surgery, study finds, Surgeon-scientist centers patients in research to improve transgender care, Transgender and gender-expressive communities can count on OHSUs support, Honoring International Transgender Day of Visibility, Why gender-affirming care for youth is important, OHSU earns top score in Human Rights Campaign Foundations 2022 Healthcare Equality Index, OHSU expands, improves transgender health services, Affirming health care is lifesaving for transgender youth. I have done many assessments for hormones and surgery and have worked collaboratively with medical professionals to ensure appropriate treatment of those struggling with gender dysphoria. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Outside In made me want to be around excellence. People talking to me, listening to me. If you are not currently a Kaiser Permanente member and are interested in becoming one, please check out your options on. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. Additionally, in children, gender dysphoria can manifest itself as feelings of disgust with their own genitals and a certainty that they will grow up to be the opposite sex. Many people treat gender dysphoria by physically modifying their bodies through surgery so that they better match their gender identities. Adolescent medicine doctors who specialize in the needs of teens. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Collaboration: We confer monthly with other transgender health programs.