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. What to expect: We usually do not prescribe medications during the first visit. Suppressants may not be effective if an adolescent has gone through most stages of puberty. 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. Call us at 503-413-5600. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. We can refer you to fertility experts to discuss options. This study was from a gender clinic in Dallas, Texas. Rising anxiety: 8 ways to reclaim your calm. Beware of drug interactions. Community health workers and student nurses are available to address medical needs. A safe, welcoming and gender-affirming environment. I provide affirming space to explore sexuality and gender identity and to process how that may be implicated in relationships with family, friends, intimate partner violence, and sexual trauma. Taking several meds or supplements? Southside Fertility Center. 500 NE Multnomah St., Suite 100, Portland, OR 97232. I've spent years supporting my clients to come more deeply into their true expression. Children can stop taking them at any time. Below are some resources available within our Moda and Kaiser plans. 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. They protected me. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! Check our new patient information page to learn what information is needed for your appointment. We understand that the gender journey of every patient is unique, and we are here to help. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. Email us today to reach our intake specialist. Outside In is an Equal Opportunity Employer. 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. The Portland Clinic Blog Health Matters Categories: #COMMUNITY #FITNESS #FOOD&NUTRITION #MEETYOURDOC #NEWS #YOUR HEALTH #YOUR HEALTH If it tingles, it's carpal tunnel, right? Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. Minors aged 13 to 18 can withhold mental health records from parents for " sensitive " conditions, which include both "gender dysphoria" and "gender-affirming care." Insurers in Washington must cover a wide array of "gender-affirming treatments" from tracheal shaves to double mastectomies. Plastic and Reconstructive Surgery . But great health care is simple: be trustworthy, kind and considerate. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Bone-building exercises and taking calcium and vitamin D can help. 3550 N Interstate Ave Portland, Oregon 97227 800-813-2000 genderpathways.org Christina E. Milano Top Doctor: Transgender Medicine OHSU Primary Care Clinic - Richmond - Family Medicine 3930 SE Division St Portland, Oregon 97202 503-418-3900 ohsu.edu 921 SW Washington Street, Suite 750 Portland, OR 97205 Phone: 503-222-5144 Fax: 503-227-8777 Dr. Jens Berli talks about gender dysphoria and his passion for his work at OHSU. Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. At Providence Women's Clinic, we specialize in providing care that is tailored to your individual needs, at every stage of your life. Transgender Health Program Community Advisory Board: This group is made up of transgender and gender-nonbinary people who have received program services or who represent served communities. WPATH-informed. 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. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. Testosterone: Testosterone is usually injected into muscles or just under the skin. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. I received training conducting evaluations within a multidisciplinary transgender health clinic. Next, you will receive an intake call from the Transgender Health Program to gather some information and answer your questions. Prism Health | Belmont2236 SE Belmont StPortland, OR 97214, Contacte: info@prismhealth.orgp: 503.445.7699f: 503.802.0199, Primary Care Hours Monday Friday | 8:30 am 5:00 pm**For Holiday Closures, please visit capnw.org/calendar. You do not need a referral for a primary care appointment. We welcome concerns, success stories and anything else youd like to share. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. Portland, Oregon 97205. Estrogen and testosterone are hormones that develop some traits and reduce others. Gender identity is a persons internal sense of gender, or what a person feels their gender is. But we can connect you with OHSU providers. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. UnitedHealth Group will adhere to all federal . I also worked on a project with 29 brave individuals honoring their journey in gender expression. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. Stepping into who you are and living (safely) from that place, is sometimes a delicate balance - and, in my eyes, essential to being home in ourselves. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. He also accepts insurance. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. It can also put teens at higher risk of mental health problems and substance abuse. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. We welcome concerns, success stories and anything else youd like to share. We do not make appointments or directly provide health care. We do not approve of any kind of conversion therapy. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. Doernbecher Children's Hospital in Portland has been . Sometimes we refer to sex as Need assistance after hours? Let's work together to unpack the blocks to expressing yourself more fully. A mental health professional can help with these and other challenging aspects of gender dysphoria. Our services for patients under 15 are limited for this reason. Read this first. View our Specialties We have more than 30 areas of practice, including Urgent Care. It prevents the development of sex traits that may be hard or impossible to reverse later. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. Full-Time. I want you to feel empowered to show up as your whole self, regardless of the context. Jean Bryant, grateful that her worst fears about transitioning did not come true, now helps others. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. A transgender person may identify as male or female, or they may have a non-binary gender identity. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. 602-246-1966. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. I have experience providing assessments and letters of support for gender-affirming medical care. You will need to provide two referrals from qualified mental health professionals for genital procedures; one referral for other procedures unless otherwise specified by insurance. We will: We will monitor your child throughout treatment. The child has given informed consent. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. TPC email access. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. Patient education: See our Education and Events page. Family support from a psychologist, psychiatrist and social worker. We are currently accepting new patients. 7025 N. Scottsdale Road #302. Every person deserves to live a life in their most congruent gender. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? , please. See our For Health Care Professionals page for details. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. Working together so our communities are the healthiest in America. 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. See our rate sheet for details on fees. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . Housing at Outside In is so much more than a roof over your head. StoryCorps and OHSU are partners in bringing the stories of OHSU patients, providers and others to life. (The call is private and personal to your questions and concerns.) If you speak a language other than English, we can arrange an interpreter for you. Contact Us Southern California Kaiser Permanente members can call the Transgender care line at 323-857-3818 Monday through Friday 7:30 am to 5:00 pm to speak to a nurse case coordinator. OHSU clinics you may visit set their own charges, though. who we . The staff is helpful and amazing. Gender Clinic The Northern Light Eastern Maine Medical Center is committed to caring for children, adolescents, and young adults with gender dysphoria, gender fluidity or those who are questioning. I have attended several specialized trainings for working with gender identity issues before and during that time. 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. 207.878.6170 Fax 207.878.6172. about. Your child also may receive hormone treatments such as: Puberty produces hormones in pulses that spur development, but suppressants deliver a steady amount. And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. We are happy to meet with you and your child before that, though. My experience includes academic training as well as my personal experience. One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. These are usually replaced every one to two years if pubertal suppression continues. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. Our services for our transgender and gender diverse individuals include: Outside In provides high quality and supportive healthcare to all our clients, whether you are questioning your gender or have been transitioning for years. We prefer that patients get a mental health evaluation before starting hormones. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. Our treatment is different for every person and we use evidence-based treatments. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. Legacy Diabetes and Endocrine Clinic 501 N. Graham St., Suite 375 Portland, OR 97227 Map/Directions Hours: Monday-Friday, 8:30 a.m. to 4:30 p.m. 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. 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. Comprehensive care that includes experts in primary care, hormone therapy and mental health. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. It is a great moment. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. This is commonly age 10 or 11. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. Then we generally follow WPATH guidelines for recommending treatment. Gender affirming care should be a human right. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. I am a parent, a husband, and an artist. Changing lives. 2001-2022 Oregon Health & Science University. Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. It gives adolescents time to explore their gender. The staff took my concerns seriously, and took a holistic approach. Our specialists meet every month to pool their expertise on complex cases. We appreciate your patience and will respond to you as soon as possible. Our medical system currently creates many barriers to gender-affirming care. 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. We believe that trying to change a persons gender identity is harmful. Fax: 207-662-5528. It taught me how to be kind to people less fortunate. Hormone therapy doses how much and how often are typically different for teens than for adults. Pubertal suppression doesnt necessarily lead to social transition or gender-affirming treatment. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. We will talk with you about options, what to expect and possible risks. Prism Health provides free and fast screening for HIV and other STIs through our dedicated walk-in clinic, Pivot, as well as a stigma free environment to address any of your sexual health concerns. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. The Transgender Health Program THP for short provides support, information and advocacy. LMFT. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. I have experience working with transgender and gender non-conforming children, teens, and adults. 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. Typically, we see patients every three to four months. Mabel Wadsworth Center offers a safe and affirming environment." Services include: Abortion Care Annual Wellness Exams Birth Control Cancer Screenings Colposcopy Infertility Consultation Intrauterine Insemination LGBTQ Healthcare Gender Affirming Hormone Therapy Men's Health Menopause Consultation Mental Health Counseling To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. When a family member transitions, it can put a strain on family dynamics. Pride Clinic. offer staff training that includes culturally competent LGBTQ care. Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. 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. The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. more than one gender. See our insurance page to learn more about payment options. New York ACLU - Changing Your Name and Gender; Please contact the TYP clinic to speak with our social worker if you have any questions or concerns about this process. Some changes, such as to fertility (the ability to have biological children) or chest development, may be permanent. WPATH standards of care are used in therapy and letter writing. Basic patient care needs will be met though both administrative and clinical duties. Tobin Cox joins clinical program managerAmy Penkin totalk about transitioning as a new employee. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. You will then be scheduled for a 1-hour telehealth orientation appointment. 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. We take most health insurance, including OHP. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. Schedule is Monday through Friday, 8:00a . The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. Scottsdale, AZ 85253. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. Portland, OR. That essentially puts the puberty system to sleep. Gender expression is a passion of mine. Outside In offers a range of services dedicated to transgender and other gender diverse patients. Small implants placed under the skin of the inner upper arm. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. Better turn it on! Transgender Health Program Community Advisory Board: This group is made up of transgender and gender-nonbinary people who have received program services or who represent served communities. You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. I believe strongly that every person deserves to live healthy and full lives as their authentic selves. It may match their sex assigned at birth, or may be different. Its important that patients have enough time after surgery for healing and family support. Call us now. Injections into a muscle every three months. The Gender Clinic at Maine Medical/ The Barbara Bush Children's Hospital (207) 662-5093 (207) 662- 5528 fax . Joe has trained and presented widely in the area of gender studies as well as having worked extensively with clients around issues related to gender transitions, including assessment and documentation for medical needs. Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters.

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