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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. A mental health professional can help with these and other challenging aspects of gender dysphoria. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. They were always there for us anticipating our needs. I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. If you have any questions about our services before booking your appointment, please don't hesitate to email us at hello@braeswoodendo.sprucecare.com or call or text us at 832-592-0407. 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? Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. UnitedHealth Group will adhere to all federal . Learn more Resources for patients Help your child prepare for the many aspects of their transition. OHSU pioneered a unique physical therapy treatment for vaginoplasty patients. We are currently accepting new patients. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information By the time I was 17, I didn't trust anybodyexcept Outside In. 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. I'm here to help. What to expect: We usually do not prescribe medications during the first visit. OHSU is an equal opportunity affirmative action institution. Gender affirmation surgery (previously gender confirmation surgery) for individuals looking to transition: transfeminine or transmasculine. But we can connect you with OHSU providers. Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . I want you to feel empowered to show up as your whole self, regardless of the context. We dont require patients to transition socially before starting hormone therapy. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. 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. See our For Health Care Professionals page for links to published studies by OHSU providers. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. 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 specialists meet every month to pool their expertise on complex cases. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. When treatment starts: Medical treatment usually doesnt begin until puberty. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . Portland, Oregon 97205. Our medical system currently creates many barriers to gender-affirming care. 2001-2022 Oregon Health & Science University. Offices & Services . Because of him I am now a complete, functioning attractive woman. Suppressants taken later in puberty dont reverse changes but can stop new ones. I am open to learning about and exploring identities outside of this list as well. If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. Visit ourevents page and scroll down to "Calendar" to find a meeting. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. 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. Collaboration: We confer monthly with other transgender health programs. If you have a visit for gender-affirming hormones at our clinic, you may be given an informed consent form to sign that explains the risks, benefits, and other important details about the medications. On average, the typical first clearance will be an average of 6+ hours. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. We do not approve of any kind of conversion therapy. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. OHSU clinics you may visit set their own charges, though. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. This helps us offer services that match your needs. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. Pride Clinic. 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. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. The group meets quarterly to advise the program about programs and services. You will start by getting a referral, usually from your childs pediatrician. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. If you dont see the number you need below, call OHSUs main number: 503-494-8311. The child has given informed consent. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. They have proved safe and effective in cisgender children. I also worked on a project with 29 brave individuals honoring their journey in gender expression. natal sex or sex assigned at birth.. 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. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. 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. The THP serves as an umbrella for gender-affirming services at OHSU. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. 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. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. These are usually replaced every one to two years if pubertal suppression continues. You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. 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. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. Fax: 207-662-5528. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. Some common signs of a gender dysphoria include cross-dressing, a feeling of being in the wrong body and a desire to live as a person of the opposite sex. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. offer you the chance to share your experience, help others, shape our program, and advance our mission. Schedule is Monday through Friday, 8:00a . I have worked with issues surrounding gender identity for the past three years. 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. And I'm here to write letters to help with accessing medical care too. Insurance Coverage for Gender Care. If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. Not all non-binary people identify as transgender. Being transgender or non-binary presents a unique set of personal and social challenges. We also provide treatment into young adulthood for some patients, and we help them move into adult care. Patients need a referral, usually from their pediatrician, to be seen at one of our. We take most health insurance, including OHP. Gender affirming care should be a human right. 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. 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. Meltzer is so much more than an accomplished surgeon he is an artist. My aim is to mitigate these barriers and pave the way for access to care. Fertility services: Some treatments affect fertility. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. We consider timing, especially for teens seeking surgery before leaving for college. I also support parents looking for resources while they may have a child transitioning. Our team is focused on the entire well-being of each patient. This is commonly age 10 or 11. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. She is also a member of . Guide you through the consent process, which can be complex. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. 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. I've worked with hundreds of transgender and gender variant people since 2015. Learn more. The wonderful and fresh food, the health care, the accommodations, the hospitalities. 400 Oakland, CA 94612 They arent effective until then. They treat hundreds of patients a year. Call (503) 445-7699 to be connected to our answering service. , please. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. They protected me. One of the possible reasons an email can be . Check our new patient information page to learn what information is needed for your appointment. I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. We'll explore your experience and needs collaboratively and compassionately. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. We also provide treatment into young adulthood for some patients, and we help them move into adult care. Portland, OR. LMFT. We prefer that patients get a mental health evaluation before starting hormones. Outside In offers a range of services dedicated to transgender and other gender diverse patients. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. We will: Get your childs medical history and family history. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. See our For Health Care Professionals page for details. Typically, we see patients every three to four months. 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. You will then be scheduled for a 1-hour telehealth orientation appointment. 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. PLEASE NOTE: Due to the weather conditions last week, we are experiencing high call volumes. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. Current wait list for a surgery date: 12 months. We give treatment to children and their families from childhood through adolescence." Maryland 19. People talking to me, listening to me. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. Located on Powell Blvd in Portland, OR. 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. When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. How they love us, care for us. He started performing Vaginoplasty at OHSU in 1993. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 25 received pubertal suppression . Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Let's work together to unpack the blocks to expressing yourself more fully. Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. See our. Our services for patients under 15 are limited for this reason. All Rights Reserved. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team Connect with us at one of our Portland-area locations. Onsite self-injection lessons for hormone injections. 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. Gender Spectrum Many people treat gender dysphoria by physically modifying their bodies through surgery so that they better match their gender identities. 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! 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. 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 Some teens may go on to transition with hormone therapy or surgery. See our insurance page to learn more about payment options. You don't have JavaScript turned on. You are invited to our quarterly Grand Rounds. This helps us offer services that match your needs. Puberty specialists who treat hundreds of patients a year. The staff took my concerns seriously, and took a holistic approach. I am a non-binary gender therapist with lived experience and interest in unique identities. 2023 Maine Medical Partners. Phone: 207-662-5093 or 866-860-6277 This is commonly age 10 or 11. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. Clinic RN - Pediatric Surgery. People with gender dysphoria are typically referred to as transsexual or transgender. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. I feel safe at Outside In. gynecology, nutrition, diabetes, foot and ankle, gastroenterology, surgery, urology, neurology, rheumatology, clinical pharmacy, behavioral health, radiology, x-ray. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. TPC email access. for details. 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. Read this first. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. Like the definition of gender itself, I help you decide your own path, labels and lack of labels. Medical treatment usually doesnt begin until puberty. The CLEAR Clinic can help you file a petition to legally change your name or gender marker in court in Oregon. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. Possibly do a physical exam and blood test to assess the extent of puberty. Treat everyone like family. MS, QMHP, Professional Counselor Associate. Patients can now choose between either Scottsdale or Portland for surgery dates. Full-Time. 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. It may be safer for teens to appear physically mature as they get older. Better turn it on! I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. We accept referrals from all over the UK for people with issues related to gender. When a family member transitions, it can put a strain on family dynamics. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. Master of Arts in Marriage, Couple, and Family Therapy. Health care professionals in the community can request training on providing affirming, welcoming care. Some changes, such as to fertility or a deeper voice, may be permanent. They may want to begin their transition as soon as possible. Patients we treat: Our clinic accepts new patients through age 18. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. To schedule a medical appointment, please call503.535.3860and select option 1. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. 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. An MA I is expected to perform in accordance with established policies, procedures, and regulations. 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. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. 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. A transgender person may identify as male or female, or they may have a non-binary gender identity. Outside In made me want to be around excellence. Hormone therapy also affects people in different ways and at different rates. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. 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. Primary care: We coordinate with pediatricians and family medicine providers to make sure patients get comprehensive care. The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. Washington. The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. Theyre designed to help patients start the puberty that matches their gender identity. 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.
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