TRANSGENDER & NON-BINARY HORMONE THERAPY

Hormone therapy for transgender or gender variant individuals, also known as cross-sex hormone therapy, is a form of hormone therapy in which sex hormones and other hormonal medications are administered for the purpose of closely aligning one’s gender expression with one’s gender identity.

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BENEFITS

Hormone therapy has been shown unquestionably to have positive physical and psychological effects on the transitioning individual. It can provide significant comfort to patients who do not want to make a social gender role transition or undergo surgery. Hormone therapy at LTC is prescribed on an individualised basis depending on a patient’s goals, the risk/benefit ratio of medication, consideration of other medical conditions, and social and economic issues.

HOW DO I START HORMONE THERAPY?

STEP 1 – Make an enquiry

Register your interest by selecting “Make an Enquiry” and filling in your details.

STEP 2 – Retrieve a Referral from a Gender Psychologist/Psychiatris

Once you complete step 1 we can provide you with a list of available clinicians for you to contact and arrange your appointment. It will be your decision to choose which gender psychologist / psychiatrist you would like to see. Please arrange this appointment directly with the gender psychologist / psychiatrist.

Once you have organised your appointment with your clinician please also organise the following applicable blood tests with your GP:

Transmale / Non-Binary Transmasculine

  • Liver Function Test (LFT)
  • Full Blood Count (FBC)
  • Fasting Lipid Profile
  • Fasting Glucose
  • Serum Testosterone
  • Serum Oestradiol
  • Serum Prolactin
  • Follicle-Stimulating Hormone (FSH)
  • Luteinising Hormone (LH)
  • SHBG
  • U+E

Transfemale / Non-Binary Transfeminine

  • Liver Function Test (LFT)
  • LH
  • Full Blood Count (FBC)
  • Fasting Lipid Profile
  • Fasting Glucose
  • FSH
  • Serum Testosterone
  • Serum Oestradiol
  • Serum Prolactin
  • U+E
  • SHBG
  • Prostate-Specific Antigen (if >50 years of age)

STEP 3 – Book your appointment

Once you see your gender psychologist / psychiatrist, please email your referral letter to [email protected] or ask your clinician to kindly email it on your behalf. Once you receive a copy of your referral, please text us on +44 7568961092 leaving your name and contact details so that we can contact you without delay, to offer you an appointment with our hormone team.

STEP 4 – Complete and return your medical forms

Once we have booked your appointments, we will send you several essential forms to read and sign. Please read these carefully, sign, and return to us as soon as possible. Any delays may unfortunately result in rescheduling your appointment to a later date.

Please remember to organise your blood tests now if you have not already done so. For the full list of blood tests see our FAQ “What are the Essential Blood Tests?”. To find out where you can have these done, see our FAQ “Where can I go to get my blood tests done?”. Please email your blood test results prior to your video link consultation to [email protected].

STEP 5 – Attend your appointment

All there is left to do now is attend your first appointment!

Your first appointment will take place via Zoom, with a face to face follow up approximately 4 weeks later when, if no contra-indications are identified, you will be provided with a prescription to commence hormone therapy.

Frequently Asked Questions

  • What changes can I expect with transfemale/non-binary transfeminine hormone therapy?

    • Softer skin, less oily
    • Softening/feminising soft tissue of the face
    • Development of breast tissue
    • Slower hair growth
    • Feminisation of body shape – fat redistribution
    • Probably reduced libido
    • Psychological changes include more emotional possibly tearful, more calm, and at peace with one’s true gender identity instilling confidence
  • What changes can I expect with transfemale/nonbinary transmasculine hormone therapy?

    • Voice deepens
    • Increase muscle mass
    • Growth of facial and body hair
    • Oily, coarse skin, possibly acne
    • Clitoral growth
    • Increased libido
    • Increased appetite
  • Can I start hormones as a non-binary individual?

    We welcome all trans and non-binary individuals who wish to start hormone therapy with the option of microdosing. As with any patient, we require a diagnosis of Gender Dysphoria/Incongruence from a registered psychologist or psychiatrist.

    Find out more about how Cameron (they/he) started their journey with LTC! Watch on Youtube

  • How much does it cost?

    From 1st September 2020, we are introducing a direct debit scheme subscription and payment plan for all new patients.The fees for the treatment plan are:

    • Upfront Fee: £200
    • Year one (monthly x 11 months): £59
    • Year two (monthly x 12 months): £39

    For more information on our fees and what the service includes, read our patient guide

    For historic patients who commenced hormone therapy with us before 1st September 2020, pay as you go is still available and costs £175 per follow-up appointment.

  • How do I prepare for my consultation?

    1. Retrieve a gender specialist psychological or psychiatric assessment confirming your gender dysphoria/incongruence and suitability to start hormone therapy.
    2. Complete our essential digital registration forms. These will be sent when we receive your referral.
    3. Organise the essential blood tests with your GP practice or private provider. We can suggest MediChecks. To arrange your blood tests with Medichecks, you can call us on 0207 487 0910 and we can arrange this for you.

    NB: if you choose MediChecks we are unable to accept finger-prick tests.

  • What are the essential blood tests?

    TRANSMALE / NON-BINARY TRANSMASCULINE

    • Liver Function Test (LFT)
    • Full Blood Count (FBC)
    • Fasting Lipid Profile
    • Fasting Glucose
    • Serum Testosterone
    • Serum Oestradiol
    • Serum Prolactin
    • Follicle-Stimulating Hormone (FSH)
    • Luteinising Hormone (LH)
    • SHBG
    • U+E

    TRANSFEMALE / NON-BINARY TRANSFEMININE

    • Liver Function Test (LFT)
    • LH
    • Full Blood Count (FBC)
    • Fasting Lipid Profile
    • Fasting Glucose
    • FSH
    • Serum Testosterone
    • Serum Oestradiol
    • Serum Prolactin
    • U+E
    • SHBG
    • Prostate-Specific Antigen (if >50 years of age)
  • What happens at your consultation?

    At your initial video link consultation, we will discuss your plans for transitioning, take a medical history and discuss your options for hormone therapy. It is incredibly helpful if at this time we have received your blood test results so that if any are missing or require repeating these can be organised before your in clinic face to face appointment. If your blood results are delayed or unfortunately are incomplete, it may delay your access to hormone therapy at your in clinic appointment. Appointments vary between 30 minutes to 1 hour.

    Approximately 3-6 weeks later, you will have a face-to-face consultation at which time we will check your blood pressure and carry out an Inbody analysis. The time between these two appointments enables you to complete additional blood tests, investigate fertility preservation or any other investigations required. It also gives you time to think about any other queries you may wish to discuss when you attend your in clinic appointment.

  • Where can I get my blood tests?

    If you do not currently have any or all of the essential blood test results to hand – dated within the last 6 months – please contact your GP to arrange a blood test.
    Alternatively, if your GP is unable to arrange these for you, we can suggest Medichecks. To arrange your blood tests with Medicheck, please call us on 0207 487 0910 and we can schedule this for you at a reduced fee. Please note if you arrange these yourself, we are unable to accept finger-prick test results.
  • What happens after my consultation?

    After your face-to-face consultation, our specialist nurses will issue a medical letter and shared care guidance to your GP. This will ask your GP to continue your prescriptions as recommended by our specialist nurses and/or endocrinologist.

    You must be reviewed every 6 months for a minimum of 2 years by our specialist nurses to monitor your progress and assess any side effects that may require adjustment of your hormone therapy. It is vital that you attend your follow-up appointments so that we can review your blood levels and ensure your safe progress while on hormone therapy. Failure to attend follow-up appointments will, unfortunately, result in your discharge from LTC as we cannot be responsible for your care unless we can monitor it safely and in your best interest, we will then notify your GP.

    If and when your care is taken over by an NHS gender identity clinic we will notify you and your GP of your discharge from our service, unless you decide to remain under our care.

  • What happens if my GP refuses to share care?

    If your GP refuses to share care and you are on our monthly payment plan, we will provide you with prescriptions as part of your service package while you attempt to locate a GP who will be happy to share care.

    If you are not on our monthly payment plan, you can purchase private prescriptions at a cost of £59 while you attempt to locate a GP who will be happy to share care.

  • What is included in the payment plan?

    1. All communication with your GP.
    2. Updated medical letters if required when blood results are reviewed, and any adjustments are made to your prescription.
    3. All prescriptions as required
    Also included:
    1. Letter in support of your legal change of name on all documents.
    2. Letter in support of your application for a Gender Recognition Certificate.
  • What is not included?

    Your psychological assessment is not included, you would need to arrange this yourself, however, we will provide contact details of the Psychiatrists and Gender Specialist Psychologists who work closely with The London Transgender Clinic. LTC is not a licensed dispensary, therefore, we advise that you take your private prescription to your local pharmacy.

  • What if I discontinue my treatment?

    If you discharge yourself within Year 1, you will be required to continue your payment plan until the end of Year 1 or pay off the remaining amount through a one-off payment. We will then cancel your plan for Year 2. If you discharge yourself within Year 2, you will be required to pay the full remaining amount of the treatment plan, either by continuing your payment plan or a one-off payment.

  • What if I cancel the plan or miss a payment?

    If you miss a payment or cancel your plan without notifying us first, 3 reminders will be sent to pay the outstanding balance. In the event you do not pay the outstanding balance, unfortunately, we will have to discharge you from our care and inform your GP in writing. Any outstanding payments will then be collected by our financial and legal teams.

  • How can I connect with other patients?

    If you are an existing patient and you would like to connect with other people on the same journey to exchange experiences and opinions, you can join one of our Facebook groups.

    If you are a trans male or trans-masculine non-binary patient, you can join this group.

    If you are a trans female or trans-feminine non-binary patient, you can join this group.

Related Videos to View

“Had a great experience!!”

5 5 Star Rating
Written onDecember 13, 2018

Had a great experience in my initial appointments to get myself started on hormone therapy! 🙂

Very concise and throughout consultations, happy to contact my GP several times afterwards.

I will be going in to see Mary after I’ve increased my dosage, more than happy with all the help I’ve gotten from them.

 

by Tuomas

Testimonials

We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).World Professional Association for Transgender Health logo

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