As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. Beware of drug interactions. 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. 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. Injections are only available with a minimum of one hour of electrolysis. Gender Spectrum He served as an Assistant Professor of Plastic and Reconstructive Surgery at Oregon Health Sciences University (OHSU) from 1990 to 1996, before going into private practice. 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! 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. Call us now. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. 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. What to expect: We usually do not prescribe medications during the first visit. Patients we treat: Our clinic accepts new patients through age 18. We believe that trying to change a persons gender identity is harmful. 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. Taking several meds or supplements? Rising anxiety: 8 ways to reclaim your calm. 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. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. Washington. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. Theyre designed to help patients start the puberty that matches their gender identity. Plastic and Reconstructive Surgery . Bellevue . Most of my clients are transgender and/or non-binary. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. Therapy can aid in navigating to understanding your gender identity to feel more at ease and comfortable while you become the self you want to be. The Gender Clinic at Maine Medical/ The Barbara Bush Children's Hospital (207) 662-5093 (207) 662- 5528 fax . Check our new patient information page to learn what information is needed for your appointment. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. If you have come to help me, you are wasting your time. . Below are some resources available within our Moda and Kaiser plans. Bethany Blvd.Beaverton, OR 97006. Our transgender health services are offered as part of our primary care clinic, where all our providers are trained to write referrals for gender-affirming surgeries as well as manage gender-affirming hormones (GAH). Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Then we generally follow WPATH guidelines for recommending treatment. I help clients to embrace their identities through coming out, social and medical transition, & more. The Gender Clinic We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. Hormone therapy mimics the bodys production of estrogen or testosterone. Find a Location Connect with us at one of our Portland-area locations. I continue to provide affirmative care for the community and their families. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. If you are a new or current Kaiser Permanente member who needs a trans-competent primary care provider, please call us or contact Member Services for help. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information Hand numbness, tingling or pain can have many causes and treatments. Gender dysphoria emerged or worsened when puberty began. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. Whatever decisions you make about your health, we listen and provide support without judgment. The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. Ophthalmology . But your clinic always operated in a timely manner, and made us feel welcome. TriMet Stop ID: 408SE Belmont & 23rd Eastbound. 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? The child is stable enough to start treatment. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. Outside In is a 501(c)(3) tax exempt organization (EIN: 93-0567549). The OutList is open to all healthcare providers of any identity, distinction, and specialty. They have proved safe and effective in cisgender children. Most teens have the maturity to make these decisions by age 16. We welcome concerns, success stories and anything else youd like to share. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. Patients 18 and older can self-refer to the Gender Pathways Clinic they only need to call and set up an appointment. These are usually replaced every one to two years if pubertal suppression continues. 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. Not necessarily. When a family member transitions, it can put a strain on family dynamics. Twitter content To honor your privacy preferences, this content can only be viewed on the site it originates from. Learn more. Gender expression is a passion of mine. 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. You will also find gender-neutral restrooms across our campuses. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. Scottsdale, AZ 85253. On this page Gender Affirming Care with Kaiser Permanente Gender Affirming Care with Moda Health Culturally Specific Resources for Moda Members Doernbecher Children's Hospital offers which provides advice for the "safe tucking" of a boy's genitals and links to a sex shop in Portland. Throughout my training, I have focused on working to apply what I have learned to help people navigate gender. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. 2021 Outside In - All Rights Reserved. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. I wanted independence and stability. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. Many are also international experts who publish studies and who speak across the nation and overseas. 7025 N. Scottsdale Road #302. I am also qualified to write letters of recommendation for gender-affirming surgeries. PLEASE NOTE: Due to the weather conditions last week, we are experiencing high call volumes. Bridge City Family Medical Clinic's Founder, Teri Bunker (FNP), specializes in the care of the LGBT and other gender or sexual non-conforming individuals of all ages. We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). The Gender Pathways Clinic is a Kaiser Permanente department, and services are available to all Kaiser Permanente members. More than 100 doctors provide comprehensive, specialized care for you and your family. You are invited to our quarterly Grand Rounds. Phone: 207-662-5093or 866-860-6277 If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. 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. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. People with gender dysphoria are typically referred to as transsexual or transgender. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. Dr. Meltzer is board-certified in both General and Plastic Surgery. Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. 2001-2022 Oregon Health & Science University. Currently, there is limited information about the long-term effects in gender-diversepatients. We'll explore your experience and needs collaboratively and compassionately. I am a parent, a husband, and an artist. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). 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. Our specialists meet every month to pool their expertise on complex cases. Hormone therapy doses how much and how often are typically different for teens than for adults. We dont charge for support, information or patient-education classes. Rose Haven is a day shelter and community center serving women, children and gender-nonconforming people in Portland. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaardabout deciding to transition. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. I identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. Learn more on our For Health Care Professionalspage. http://bethannshort.com/gendersummit.html. for details. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Fax: 207-662-5528. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. When appropriate, we also offer virtual visits where you can . Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. They treat hundreds of patients a year. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. We are happy to meet with you and your child before that, though. We're all struggling. The staff took my concerns seriously, and took a holistic approach. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. You've come to the right place. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. Read this first. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. Posted: February 02, 2023. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. If you speak a language other than English, we can arrange an interpreter for you. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. OHSU is dedicated to inclusive care and to offering welcoming facilities. 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. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. And I'm here to write letters to help with accessing medical care too. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. 25 received pubertal suppression . We usually do not prescribe medications during the first visit. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. Contact Us. Sex is decided based on anatomy, hormones and DNA. When the Gender Identity Development Service for Children and Adolescents (GIDS) at the Tavistock and Portman NHS trust in London was established in 1983, it was a different era in terms of the. Team-based care: OHSU providers work together to make sure you get the care you need. We prefer that patients get a mental health evaluation before starting hormones. 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. We do not believe all patients will benefit from the same services. 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. We do not make appointments or directly provide health care. We can answer questions and discuss: We recommend that your child see a specialist in treating puberty-related conditions, such as: Some treatments affect fertility. Portland, Oregon 97205. The team of compassionate doctors and medical practitioners specialize in . As a queer non-binary therapist I have first hand, lived experience with gender issues. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. Not all non-binary people identify as transgender. External Located on Powell Blvd in Portland, OR. Research into improving treatments and outcomes. We appreciate your patience and will respond to you as soon as possible. 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. 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 Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming: Our compassionate providers are leaders in their fields who have developed best practice guidelines in transgender health that are used throughout Kaiser Permanente. Access to family-centered services for children and teens. 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. 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 offer treatment to patients of all ages with both pediatric and adult services. Information and support from welcoming professionals and peers. Want to use our data? I work with clients exploring their gender identities and working on questions about their self-image and embodiment. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. 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 Through these connections I was able to get into school and graduate as a Certified Medical Assistant. WPATH standards of care are used in therapy and letter writing. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. Some teens may go on to transition with hormone therapy or surgery. Designed by Monde Creative, AboutPrismHealthOur Medical ProvidersOur Behavioral Health ProvidersOur Leadership TeamCareers, PrimaryCareGender-AffirmingCareBehavioral Health & Substance SupportPharmacySexual HealthPrEP, MPox Information & GuidanceInsuranceNotice of Privacy PracticesPrivacy PolicyRight to Good Faith EstimateSliding Scale DiscountPatient FormsLaboratory. Visit our. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. I've spent years supporting my clients to come more deeply into their true expression. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more Small implants placed under the skin of the inner upper arm. See our. Outside In is an Equal Opportunity Employer. Tobin Cox joins clinical program managerAmy Penkin totalk about transitioning as a new employee. Doernbecher Childrens Hospital700S.W. Some changes, such as to fertility (the ability to have biological children) or chest development, may be permanent. How can you contact us? Campus DrivePortland, OR 97239, Cornell West1500 N.W. For information about your benefits coverage, please contact Member Services at 800-464-4000. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. Learn more about your options. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. I believe strongly that every person deserves to live healthy and full lives as their authentic selves. Members apply to serve two-year terms. Insurance Coverage for Gender Care. Outside In made me want to be around excellence. Flu vaccines are available. OutCare reviews each OutList profile prior to publicly publishing. We repect your privacy. Relaxing on the sofa, the expectant mum displayed her tummy by lifting up her sweatshirt to show the kids her bump - which was covered by leather-look leggings. We will: We will monitor your child throughout treatment. Pediatric Specialty Care The Gender Clinic Developmental Behavioral Pediatrics Endocrinology Diabetes Gastroenterology Genetics Infectious Disease Nephrology Pulmonary Medicine Contact Us Phone:207-662-5522 Toll Free: 866-860-6277 MaineHealth Maine Medical Partners Practices Pediatric Specialty Care Pediatric Specialty Care Location & Hours 800 SW 13th Ave Portland, OR 97205 Downtown, Southwest Portland Get directions Edit business info Amenities and More Accepts Credit Cards Ask the Community Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! This is commonly age 10 or 11. 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. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. 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. I have taught masters level classes for other therapists on how to support clients around gender, and helping people explore their own gender identity is one of my favorite parts of being a therapist. Family support from a psychologist, psychiatrist and social worker. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. A stable life: Teens may have lived comfortably in their gender identity for a year or more. But great health care is simple: be trustworthy, kind and considerate. We work with each person to decide on the different services they may need. I also support parents looking for resources while they may have a child transitioning. The staff is helpful and amazing. OHSU providers work together to make sure you get the care you need. Referrals to specialty providers & community . It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. . 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. Our treatment is different for every person and we use evidence-based treatments. I have experience providing assessments and letters of support for gender-affirming medical care. LMFT. Portland, ME 04103 Tel. It may be safer for teens to appear physically mature as they get older. Gender identity and gender exploration is the main focus of my work. Clinic RN - Pediatric Surgery. They may want to begin their transition as soon as possible. I've worked with hundreds of transgender and gender variant people since 2015. Members apply to serve two-year terms. We assess each child individually. This group is for parents and guardians of active patients at The Gender Clinic. Answer your questions and help you find any resources you need. These can include mastectomy and phalloplasty/bottom surgery or breast augmentation, facial feminization, and vaginoplasty/bottom surgery. See our. I received training conducting evaluations within a multidisciplinary transgender health clinic. 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 THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. Our Portland women's health team brings together broad clinical expertise and deep understanding of the unique needs of women during every phase of their lives to provide the whole-person care you need and deserve every step of the way. Some parts of this site won't work without it. Onsite self-injection lessons for hormone injections. 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.