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"People who find they are not in the body that conforms to their self-image have many barriers in their lives. FHC believes access to health care should be without barriers." SLeeMD 

Since Family Health Care opened in the late 1980's, providing health care and medical services for transgendered individuals has been one of our three top priorities (the others are prenatal care and care for people with HIV.)


At FHC we believe every person is born with dignity and should be treated respectfully, including regarding their gender expression. Our practice of these beliefs include bathroom facilities are physically accessible (ADA compliant) and gender neutral.


A horror movie could be made of a person awakening to find their body transformed to the opposite sex. As a physician, I understand our gender is most strongly held in our brain. There are people who have the misfortune to have a birth defect in that part of their brain resulting in switching their gender identity from that of their external genitalia. When children have birth defects such as a cleft lip or club foot we don’t think it odd to have those surgically repaired, to become normal. But, a transgendered child or adult is erroneously considered by many to have made a “choice”. People who would never dream of laughing at a person with a scarred face, a missing leg or other severe defect see a transgender person as fair target for social ostracism (or worse). There is no connection between gender dysphoria and pedophila or abuse of children. Many trans-people live among us, working, shopping, attending school; without attracting notice. Most transgendered individuals want nothing more than acceptance and to be allowed to live their lives in peace, as the gender fitting their brain. Those who don’t suffer from this biologic solecism should be grateful and gracious.



The Trump Administration took a giant step back from their previously stated commitment to champion fairness and equality for lesbian, gay, bisexual, and transgender (LGBT) people. The removal of the federal guidance for states and schools to allow transgender students to access bathrooms appropriate to their lived gender does not "protect" anyone, rather it exposes transgender youth to more bullying and potential physical harm.

Rebecca Isaacs, Executive Director of Equality Federation said, “We stand with transgender students and their families in strong resistance to bullying, even when it comes from the White House. All students, including transgender students, should have a fair opportunity to participate fully and succeed in school. The nation’s leading educators and child health experts agree that it is best for all students when transgender students are treated consistently as the gender that matches how they live every day.”

Link to the Equality Federation (national).

Safety First

 A 2009 Study by the National Institutes of Health found that nearly a third of transgender Americans are HIV-positive. The NIH study noted more than 56% of black trans women were HIV-positive. It is important to use condoms regularly, have routine testing done and consider the use of Pre-Exposure Prophylaxis (PrEP).

More about PrEP

Special information for Transgendered people considering treatment:

How Family Health Care views the “Informed Consent” concept for transpeople. 
Informed consent is a term that has long been used in medical systems to indicate a patient-
  • has been evaluated as being competent to make decisions to accept or reject medical recommendations and
  • has been given appropriate information with which to make those decisions. 
There is a movement within the transgender community for use of a model called “Informed Consent” to access hormone therapy. Responsible people have used this as a means of encouraging medical practitioners to prescribe hormone therapy without requiring simultaneous psychotherapy. Others have interpreted this to mean that people should be given hormone therapy on demand without any evaluation. 
The current clinical guidelines by World Professional Association for Transgender Health are flexible and include recommendations for care of intersex and gender non-conforming people as well as people who wish to access medical interventions.  
Diagnosis- necessary
At Family Health Care, we believe that an individual’s experience of their identity should guide treatment. We do not generally require extensive psycho-therapy before prescribing hormones. We do require consultation and a full history and physical evaluation which may include laboratory testing and usually takes more than one visit.
There are some cases in which there are coexisting mental health concerns that must be distinguished from gender dysphoria in order to provide appropriate treatment. [A case: Jer is an individual who is transgendered, but also has dissociative personality disorder. After psychiatric treatment for more than two years to stabilize the personality disorder, hormone treatment was initiated and this patient has done well for more than fifteen years (including marriage and becoming an adoptive parent.)] 
There may be medical conditions or other contraindications to immediate treatment. At FHC we work in conjunction with each patient to establish the most appropriate and safest treatment for the individual.
There is also a broad range of gender nonconformity which does not always result in gender dysphoria or discomfort, and does not always require medical interventions. In addition, there are people who have mental illness in which gender issues may play a role and for whom hormonal therapy is not appropriate.  At Family Health Care, depending on the individual situation, most patients who request hormone treatment for their self-identified gender diagnosis receive confirmation and treatment within the first few weeks of evaluation (generally not at the first visit). However, there are some individuals who have less clarity or who may have other medical or psychiatric reasons to delay treatment.
These are medical decisions which will be decided, discussed and reviewed with the patient at Family Health Care.