Before having orchiectomy, you'll be required to obtain two letters of support, each from a mental health provider competent in transgender health. Self Identification Ideally, gender identity data sex assigned at birth, gender identity, preferred name, and preferred pronouns are collected on intake forms. In these cases the provider should reference the male normal ranges for their lab. Many other common interventions such as contraception or HIV pre-exposure prophylaxis do not involve the use of consent forms, and rely on a discussion and shared decision making between patient and provider. Vasectomy Vasectomy reversal Vasovasostomy Vasoepididymostomy. Hormone therapy information for patients Informational video on estrogen hormone therapy Estrogen hormone therapy overview.
Before having facial feminization surgery, it's recommended that you talk to a mental health provider, who can help you make a fully informed decision about the timing and implications of the procedures in the context of your transition.
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Titration upwards of dose should be driven by patient goals, in the context of clinical response, hormone level monitoring, and safety monitoring e. Patients with a history of migraines should consider starting with a low dose and titrating upward as tolerated. Pharmacokinetic studies of injected estrogen have been limited. As part of breast augmentation, your surgeon will make incisions around the areola, near the armpit or just below the breast. For patients with a prior history of estrogen sensitive cancer breast, pituitaryconsultation with an oncologist is recommended.
People whose gender identity matches their sex assigned at birth. Your surgeon might do a bowel flap procedure if you don't have enough tissue or skin in your penis or scrotum. If the medical record is unable to accommodate sex and gender as distinct values, careful communication is necessary to ensure that staff involved in the care of the patient, including support staff, are aware of the intentional discrepancy. Accessed April 15, National Collaborating Centre for Aboriginal Health;