Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. People with gender dysphoria are typically referred to as transsexual or transgender. We have a gender affirmative approach to treatment. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. It is a great moment. Learn more on our For Health Care Professionalspage. We will: Get your childs medical history and family history. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. Better turn it on! APA Fact Sheet: Gender Diversity and Transgender Identity in Children, World Professional Association for Transgender Health (WPATH) Standards of Care, The Endocrine Society Clinical Practice Guideline: Gender Dysphoria/Gender Incongruence, Consultation with spiritual care (Chaplain), Ongoing consultation between mental health and medical providers (related to gender), Menstrual suppression (stopping unwanted periods), Puberty blockers (ways to stop puberty hormones), Gender affirming hormone therapy (estrogen or testosterone), Surgical consultation (mental health letter of referral), Ask your primary care provider (or your childs pediatrician) to make a referral to The Gender Clinic through the. We appreciate your patience and will respond to you as soon as possible. Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. See our. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. We assess each child individually. Many teens want to go through puberty with their peers. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. Scottsdale, AZ 85253. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. As a queer identified, non-binary person, it is important to me to offer gender affirming therapy to those navigating their gender identity and are exploring their gender. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. I bring my own experience of being trans and want to be here for your experience of gender: your story, your life, your identity, and your family, culture, and communities. PLEASE NOTE: Due to the weather conditions last week, we are experiencing high call volumes. I received training conducting evaluations within a multidisciplinary transgender health clinic. 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. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. Tobin Cox joins clinical program managerAmy Penkin totalk about transitioning as a new employee. 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. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! The Gender Clinic at Maine Medical/ The Barbara Bush Children's Hospital (207) 662-5093 (207) 662- 5528 fax . Children can stop taking them at any time. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. We recommend starting with a mental health evaluation for your child, which we can help arrange. Learn how to apply. Bone-building exercises and taking calcium and vitamin D can help. On this page Gender Affirming Care with Kaiser Permanente Gender Affirming Care with Moda Health Culturally Specific Resources for Moda Members Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. Sometimes gender identity is confused with gender expression. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. Patients can now choose between either Scottsdale or Portland for surgery dates. There is no additional fee. Below are some resources available within our Moda and Kaiser plans. I consider it an honor to be trusted by so many in this community. Hormone therapy doses how much and how often are typically different for teens than for adults. Learn more about your options. Our Gender Pathways Clinic is located in our Interstate Medical Office East on the third floor at 3550 N. Interstate Ave. To learn more or to schedule an appointment, call 503-249-6748 or toll free at 1-800-813-2000. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. You don't have JavaScript turned on. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Comprehensive care that includes experts in primary care, hormone therapy and mental health. 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. 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 You will then be scheduled for a 1-hour telehealth orientation appointment. A mere 13 months later, Ashe . 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. Currently, there is limited information about the long-term effects in gender-diversepatients. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. E-mail is not an appropriate way to contact us regarding anything urgent or critical. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. A transgender person may identify as male or female, or they may have a non-binary gender identity. I help clients to embrace their identities through coming out, social and medical transition, & more. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. Most of my clients are transgender and/or non-binary. The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. We value input from patients, providers and community members. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. This is commonly age 10 or 11. By the time I was 17, I didn't trust anybodyexcept Outside In. TransHealthCare.org uses cookies and other tracking technologies to improve your browsing experience on our website, to analyze our website traffic, and to understand where our visitors are coming from. You do not need a referral for a primary care appointment. We do not make appointments or directly provide health care. You are invited to our quarterly Grand Rounds. Patient education: See our Education and Events page. When a family member transitions, it can put a strain on family dynamics. Gender Language ; Monica Llado-Farrulla, M.D. Team-based care: OHSU providers work together to make sure you get the care you need. We take most health insurance, including OHP. Our team is focused on the entire well-being of each patient. The clinic is held on the first Tuesday of every month, 6:30pm-8:30pm, helping individuals complete court documents to change their name and/or gender-marker. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission. Check our new patient information page to learn what information is needed for your appointment. This study was from a gender clinic in Dallas, Texas. I have experience working with children, teens and adults who are questioning their gender, going through gender transitioning, or just needing a safe space to discuss life as a gender non-conforming person. Get the details here >>, Get the latest news from The Portland Clinic. We will discuss risks and fertility-saving options with you. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. OHSU clinics you may visit set their own charges, though. Fax: 207-662-5528. Washington. Finally, we werent hungry anymore and we were safe. See our rate sheet for details on fees. Theyre designed to help patients start the puberty that matches their gender identity. Kaiser Permanente is a nationally recognized leader in LGBTQ+ health care equality, providing a wide range of services including mental health, hormone treatment, and surgical procedures to help transgender and nonbinary individuals achieve their gender-affirming goals. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information Copyright TransHealthCare.org & Trans Media Network, 2011-2022. natal sex or sex assigned at birth.. More than 100 doctors provide comprehensive, specialized care for you and your family. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. Delaying puberty too long may carry risks such as harm to bone density. What to expect: We usually do not prescribe medications during the first visit. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. We can answer questions and discuss: Specialists: We recommend that your child see a specialist in treating puberty-related conditions, such as: Our specialists, for example, can identify the start of puberty. Information and support from welcoming professionals and peers. Gender Spectrum Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. Posted: February 02, 2023. Some parts of this site won't work without it. I've worked with hundreds of transgender and gender variant people since 2015. We understand that the gender journey of every patient is unique, and we are here to help. Doernbecher Childrens Hospital700S.W. View our Specialties We have more than 30 areas of practice, including Urgent Care. Psychological, medical or social problems that could disrupt treatment have been addressed. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. Job Description. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. The Medical Assistant (MA) I works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients. Our specialists meet every month to pool their expertise on complex cases. How can you contact us? The Gender Clinic Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! They were always there for us anticipating our needs. . Menu. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. Bellevue . If a patient is already working with a therapist, we will talk with that therapist about treatment. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. Services We Provide We are currently accepting new patients. Dr. Meltzer is board-certified in both General and Plastic Surgery. To schedule a medical appointment, please call503.535.3860and select option 1. I have experience working with transgender and gender non-conforming children, teens, and adults. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. 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! OutCare reviews each OutList profile prior to publicly publishing. External People talking to me, listening to me. Gender Clinic; OUT Maine; LGBTQ+ Resources At Northern Light Health, we provide high-quality care that is focused on the needs of each person regardless of sexual orientation or gender identity. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. I am trained in LGBTQIA+ related concerns, and have been educated by past experiences working as a trans counselor with gender diverse clients and supervisors. Our team is focused on the entire well-being of each patient. OHSU is dedicated to inclusive care and to offering welcoming facilities. As more transgender children seek medical care, families confront many unknowns IN TREATMENT: Ryace Boyer, a 14-year-old high-school student, prepares to take the female hormone estrogen as part of. We have researched how testosterone therapy affects voices, leading to recommendations for voice therapy. She is also a member of . Not necessarily. Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? 500 NE Multnomah St., Suite 100, Portland, OR 97232. I continue to provide affirmative care for the community and their families. 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. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. I am a non-binary gender therapist with lived experience and interest in unique identities. If you have come to help me, you are wasting your time. We can also provide you with follow-up materials and walk you through the process of how to change your name or gender-marker on other documents once you receive a judgment from the court changing your name or gender marker. Call us now. Gender expansive work, honoring all identities including trans folks, non-binary, gender non-conforming. As a queer person, it is important to me to create space in my practice to serve my community. They also understand how to pair treatments with the pace and sequence of changes. This means that all of our providers are able to provide gender-affirming care, so you can avoid having to see multiple providers to have all your care needs met. Specialties: About Broadway Foot and Ankle Clinic At Broadway Foot and Ankle Clinic, the dedicated team of expert podiatrists provides comprehensive foot and ankle care for children, adults, and seniors. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. Our services include: We make it easy and convenient for you to take good care of yourself and offer locations throughout the Portland metro area. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. A mental health professional can help with these and other challenging aspects of gender dysphoria. See our. COVID-19 clinic information and resources. Schedule is Monday through Friday, 8:00a . 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. I also provide readiness evaluations for those seeking medical transitions. My practice focuses on queer, trans and non-binary people, including youth ages 14+. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. Fertility services: Some treatments affect fertility. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. A typical "full" clearing would consist of the entire mapped area being treated and the electrologist making the area hair free by the end of service. We usually do not prescribe medications during the first visit. LMFT. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. OHSU providers work together to make sure you get the care you need. for any health care need,such as primary care, mental health care and gender-affirming services. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Possibly do a physical exam and blood test to assess the extent of puberty. Visit our. At Providence Women's Clinic, we specialize in providing care that is tailored to your individual needs, at every stage of your life. Non-binary describes people who do not identify (or do not exclusively identify) as male or female or man or woman. They may identify as no gender, as a gender other than male or female, or as OHSU is building a pediatric patient registry to better track outcomes and improve treatments. This allows a longer duration of an electrolysis session with greater clearance of hair. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. I've spent years supporting my clients to come more deeply into their true expression. It taught me how to be kind to people less fortunate. They may be prepared for transition mentally, physically and emotionally. I couldnt have asked for a better experience with Dr. Meltzer and his staff. All Rights Reserved. I am a queer, genderqueer person. 233(g)-(n). Our specialists meet every month to pool their expertise on complex cases. Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave, Vaginoplasty Penile Inversion with Clitoroplasty, Labiaplasty, Top Surgery Double Incision with Nipple Grafts, Peri-Areolar, Phalloplasty: Groin Flap, RFF, Combined Groin + RFF, with Urethroplasty, Glansplasty, Penile Implant. Dr. Nick Esmonde, MD, MPH is a plastic surgeon in Portland, Oregon who has extensive knowledge about Gender Affirmation Surgery and works almost exclusively with transgender and non-binary patients. Basic patient care needs will be met though both administrative and clinical duties. The investigation has also revealed that doctors from the clinic advised teachers to "affirm" an entire group of fifth graders - ages 10 and 11 - who showed up to the clinic en masse asking to be transitioned from female to male. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. Milwaukie High School Health and Wellness Center, Mental Health and Substance Use Recovery Supports, Gender Affirming Hormones (GAH, also called HRT), Breast/chest health and preventative screenings, Pelvic wellness, including cervical cancer screenings, HIV/STI screening, treatment, and prevention (including PrEP), Behavioral health services and counseling resources, Information, advocacy and limited financial aid for obtaining legal name and/or gender changes. Ideas of gender are forced upon us before we are even born. gynecology, nutrition, diabetes, foot and ankle, gastroenterology, surgery, urology, neurology, rheumatology, clinical pharmacy, behavioral health, radiology, x-ray. I feel safe at Outside In. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. . The staff took my concerns seriously, and took a holistic approach. 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. PrEP, a once-a-day medication to prevent HIV transmission, might be a good choice for you if you are at risk for HIV transmission or want to add more peace of mind to your life. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. OHSU is an equal opportunity affirmative action institution. Located on Powell Blvd in Portland, OR. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Onsite self-injection lessons for hormone injections. We also recommend that patients and their families get mental health support throughout transition. . It can also put teens at higher risk of mental health problems and substance abuse. Its important that patients have enough time after surgery for healing and family support. 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.

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