Our Process
Healthcare delivered via telemedicine has important advantages for trans and non-binary folks who may not have easy access to knowledgeable and safe providers near their homes. Our mission is to continue to break down barriers and create a safe space for everyone. TransClinique’s model offers convenience, safety, and privacy.
When possible, our healthcare providers identify as trans, non-binary, or queer themselves allowing for more comfortable visits discussing issues that are often difficult with other healthcare providers.
Next Steps
New patients will be onboarded within 24 hours and seen by a physician within 48.
You’ll meet with your provider to go over intake forms, informed consent and cover any questions/concerns you may have. At the end of this meeting, you’ll be given a lab panel request.
Complete your lab panel and once your blood work results are sent back, we will check your hormone levels, liver and kidney function before starting any kind of HRT. This ensures we provide the best care in the safest way possible for you.
Once your full medical evaluation is complete and you feel ready to start, we’ll write and fill your prescription and provide you with easy-to-follow steps on how to proceed.
In addition to providing the highest quality hormone replacement therapy (HRT), we believe in a customized, holistic approach to helping you successfully navigate your journey. All of our providers are understanding of the unique needs of the population and will work with you to reach your individual goals.
About Estrogen Replacement
For trans femme and non-binary folks who would like to feminize their bodies more, estrogen and testosterone blockers are the main medications that we prescribe. Progesterone has also been found to help in stimulating breast growth and helping with overall mood stabilization. These medications can be taken orally, as a patch, or injection. This will be determined by your individual goals and situation.
The first noticeable changes will be to your skin texture after a few months. It will become softer and you will have less body hair. Decreased muscle mass and redistribution of body fat also will occur in about 6 months’ time. Breast growth also begins in this first 6-9 month period and continues into the second year of HRT and varies by individual. All of the changes generally reach a maximum effect in 2-5 years.
About Testosterone Replacement
Testosterone is the mainstay of gender-affirming hormone therapy for trans masculine individuals and non-binary folks who wish to masculinize their bodies. TransClinique prescribes testosterone via gels or injection. Your provider will speak with you about the most appropriate dose and method of delivery that fits your goals and lifestyle. The gel delivery is daily and the injections can be weekly or every other week.
The first noticeable changes will be skin tone and texture. Your skin may become more oily and you will notice some increased body hair growth in the first 3-6 months. Facial hair and lowering of your voice is to be expected but that usually happens 6-9 months into treatment. Lastly, increased muscle mass and libido will occur within the first year as well as clitoromegaly.
Non-Binary Care
The approach to hormone therapy should be guided by the patient’s desired configuration of secondary sex characteristics. Strategies may include using hormones at a lower dose for a limited period of time (micro-dosing).
Non-binary people on the feminine spectrum may choose to only use an androgen blocker and/or use estrogen at a very low dose or for a short time. SERMs have also been successful for those interested in a softer look. Those on the masculine spectrum may choose a low dosage of testosterone.
