Doernbecher Children's Hospital offers which provides advice for the "safe tucking" of a boy's genitals and links to a sex shop in Portland. Deciding on suppressants involves weighing physical risks against the mental health risks of gender dysphoria, which can include: Long-term effects: Suppressants have been used for decades to treat children who start puberty too early. Current wait list for a surgery date: 12 months. Gender Spectrum We will explore any necessary transition steps, including social and medical transition. Instead of questioning the obvious group-think dynamic the little girls were experiencing . Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. Working together so our communities are the healthiest in America. Our providers are highly-qualified and experienced in working with LGBTQIA+ folx and challenges of sexual, gender, and romantic minority (SGRM) communities. Joe has trained and presented widely in the area of gender studies as well as having worked extensively with clients around issues related to gender transitions, including assessment and documentation for medical needs. Members apply to serve two-year terms. But great health care is simple: be trustworthy, kind and considerate. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. Need assistance after hours? more than one gender. Meet our Doctors More than 100 doctors provide comprehensive, specialized care for you and your family. Children can stop taking them at any time. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. When treatment starts: Medical treatment usually doesnt begin until puberty. Access to family-centered services for children and teens. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. The child has given informed consent. I continue to provide affirmative care for the community and their families. It may be safer for teens to appear physically mature as they get older. This allows a longer duration of an electrolysis session with greater clearance of hair. I help clients to embrace their identities through coming out, social and medical transition, & more. We are happy to meet with you and your child before that, though. Outside In offers a range of services dedicated to transgender and other gender diverse patients. 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. We dont require patients to transition socially before starting hormone therapy. Injections are only available with a minimum of one hour of electrolysis. Dr. Nick Esmonde, MD, MPH is a plastic surgeon in Portland, Oregon who has extensive knowledge about Gender Affirmation Surgery and works almost exclusively with transgender and non-binary patients. We take most health insurance, including OHP. I've completed professional training in gender-affirmative care and I have experience working with binary trans, non-binary, agender, and other gender-diverse folks. These can include mastectomy and phalloplasty/bottom surgery or breast augmentation, facial feminization, and vaginoplasty/bottom surgery. Not necessarily. We're all struggling. 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. MS, QMHP, Professional Counselor Associate. Gender identity is a persons internal sense of gender, or what a person feels their gender is. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. If you dont see the number you need below, call OHSUs main number: 503-494-8311. Our Transgender Clinic's Vision Is a world where gender variant people can embrace their gender identity, free from discrimination and prejudice. This includes supportive therapy for children, adolescents, and adults who are in the early stages of exploring/questioning their gender identity, as well as assessment and letter-writing for clients pursuing hormones and/or surgery. Therapy can aid in navigating to understanding your gender identity to feel more at ease and comfortable while you become the self you want to be. Basic patient care needs will be met though both administrative and clinical duties. 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. We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team 233(g)-(n). I wanted to belong. who we . Email us today to reach our intake specialist. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. We usually do not prescribe medications during the first visit. UnitedHealth Group will adhere to all federal . Being transgender or non-binary presents a unique set of personal and social challenges. Portland, OR 97239 : F : English : Ross Passo, M.D. They treat hundreds of patients a year. 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. I am a non-binary gender therapist with lived experience and interest in unique identities. For example, several key staff members from The Meltzer Clinic are still based in Portland. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. There is no additional fee. The THP and OHSUs. Transgender Law Center 1629 Telegraph Ave., Ste. APA Fact Sheet: Gender Diversity and Transgender Identity in Children, World Professional Association for Transgender Health (WPATH) Standards of Care, The Endocrine Society Clinical Practice Guideline: Gender Dysphoria/Gender Incongruence, Consultation with spiritual care (Chaplain), Ongoing consultation between mental health and medical providers (related to gender), Menstrual suppression (stopping unwanted periods), Puberty blockers (ways to stop puberty hormones), Gender affirming hormone therapy (estrogen or testosterone), Surgical consultation (mental health letter of referral), Ask your primary care provider (or your childs pediatrician) to make a referral to The Gender Clinic through the. We confer monthly with other transgender health programs. I am also qualified to write letters of recommendation for gender-affirming surgeries. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. Every person deserves to live a life in their most congruent gender. Comprehensive care that includes experts in primary care, hormone therapy and mental health. My practice focuses on queer, trans and non-binary people, including youth ages 14+. Care for teens and children: The providers at our Doernbecher Gender Clinic locations offer years of experience treating gender-diverse young people. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. External I'm here to help. How they love us, care for us. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. I've spent years supporting my clients to come more deeply into their true expression. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. Ideas of gender are forced upon us before we are even born. They may want to begin their transition as soon as possible. The CLEAR Clinic can help you file a petition to legally change your name or gender marker in court in Oregon. Hormone therapy also affects people in different ways and at different rates. You'll find: Puberty specialists who treat hundreds of patients a year. Our services include: We make it easy and convenient for you to take good care of yourself and offer locations throughout the Portland metro area. The group meets quarterly to advise the program about programs and services. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. I also support folx to access medical transition like surgeries with low-barrier, single session, & sliding scale gender affirming consults. Most of my clients are transgender and/or non-binary. I'm well versed in the WPATH & the emerging 'Informed Consent' standards of care, as well as associated psycho-social challenges (e.g., social anxiety) experienced by transgender and gender-queer people. The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. Taking several meds or supplements? 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? A mental health professional can help with these and other challenging aspects of gender dysphoria. Clinic RN - Pediatric Surgery. We believe that trying to change a persons gender identity is harmful. COVID-19 clinic information and resources. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. They protected me. We are happy to meet with you and your child before that, though. It causes some of the changes a child goes through in puberty. The following video was produced for the gala. We value input from patients, providers and community members. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information I love Outside In people. You will also find gender-neutral restrooms across our campuses. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. We repect your privacy. Our Gender Pathways Clinic is located in our Interstate Medical Office East on the third floor at 3550 N. Interstate Ave. To learn more or to schedule an appointment, call 503-249-6748 or toll free at 1-800-813-2000. What a racket. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). Research into improving treatments and outcomes. The OutList is open to all healthcare providers of any identity, distinction, and specialty. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. Testosterone therapy: Long-term risks are unclear. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. Small implants placed under the skin of the inner upper arm. Our Portland women's health team brings together broad clinical expertise and deep understanding of the unique needs of women during every phase of their lives to provide the whole-person care you need and deserve every step of the way. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! See our For Health Care Professionals page for links to published studies by OHSU providers. The staff took my concerns seriously, and took a holistic approach. We can refer you to fertility experts to discuss options. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Transgender describes people whose gender identity or expression differs from their assigned sex at birth. 207.878.6170 Fax 207.878.6172. about. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. You are invited to our quarterly Grand Rounds. Our transgender health services are offered as part of our primary care clinic, where all our providers are trained to write referrals for gender-affirming surgeries as well as manage gender-affirming hormones (GAH). It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. We offer treatment to patients of all ages with both pediatric and adult services. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. We are currently accepting new patients. I found Outside In. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. LMFT. Guide you through the consent process, which can be complex. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. If you are not currently a Kaiser Permanente member and are interested in becoming one, please check out your options on. If you are a new or current Kaiser Permanente member who needs a trans-competent primary care provider, please call us or contact Member Services for help. 12115 SW 70th Ave, Suite 101 Portland, Oregon 97223. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. Hand numbness, tingling or pain can have many causes and treatments. Visit our. Housing at Outside In is so much more than a roof over your head. See our rate sheet for details on fees. You've come to the right place. A stable life: Teens may have lived comfortably in their gender identity for a year or more. Its important that patients have enough time after surgery for healing and family support. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). All Rights Reserved. Many teens want to go through puberty with their peers. Pubertal suppression doesnt necessarily lead to social transition or gender-affirming treatment. I have attended several specialized trainings for working with gender identity issues before and during that time. You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. Simply stated, our society has not caught up with what it means to identify as a gender other than the one you were assigned at birth. Our medical system currently creates many barriers to gender-affirming care. Opportunities to help advance our mission by becoming a volunteer or supporter. Answer your questions and help you find any resources you need. 602-246-1966. 2023 Maine Medical Partners. That essentially puts the puberty system to sleep. Members apply to serve two-year terms. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. Learn more about VA Portland's comprehensive mental and behavioral health program. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Get the details here >>, Get the latest news from The Portland Clinic. You do not need a referral for a primary care appointment. The Gender Identity Development Service (GIDS) is for children and young people, and their families, who experience difficulties in the development of their gender identity. Below are some resources available within our Moda and Kaiser plans. Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. I have extensive experience working with adolescents and adults experiencing gender dysphoria. Estrogen: Estrogen can be given in a pill, skin patch or injection. gynecology, nutrition, diabetes, foot and ankle, gastroenterology, surgery, urology, neurology, rheumatology, clinical pharmacy, behavioral health, radiology, x-ray. It taught me how to be kind to people less fortunate. Bellevue . Bethany Blvd.Beaverton, OR 97006. Its really nice to have a doctor who makes house calls when one is recovering from surgery. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. Posted: February 02, 2023. OHSU pioneered a unique physical therapy treatment for vaginoplasty patients. Mental health: We offer psychological and psychiatric care for patients and families. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. Contact the OHSU Transgender Health Program at: Parking is free for patients and their visitors. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. Full-Time. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. Patients 18 and older can self-refer to the Gender Pathways Clinic they only need to call and set up an appointment. For information about your benefits coverage, please contact Member Services at 800-464-4000. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Gender expansive work, honoring all identities including trans folks, non-binary, gender non-conforming. We will talk with you about options, what to expect and possible risks. The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. 2022 Cascade AIDS Project, Inc. All rights reserved. 400 Oakland, CA 94612 Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. We welcome concerns, success stories and anything else youd like to share. MA in Marriage, Couple and Family Therapy. As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community. Learn more about your options. Do you need a letter, or support on your gender journey? 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. We work with each person to decide on the different services they may need. Because of him I am now a complete, functioning attractive woman. We appreciate your patience and will respond to you as soon as possible. Outside In is a Health Center Program grantee under 42 U.S.C. Currently, there is limited information about the long-term effects in gender-diversepatients. Richmond (Southeast Portland) Scappoose South Waterfront Specialty clinics Dermatology: 503-418-3376 (laser hair removal) Doernbecher Gender Clinic: 503-346-0640 (care for children and teens) Endocrinology (adult): 503-494-3273 (specialty hormone therapy) Ear, Nose and Throat: 503-494-5947 (Adam's apple reduction, vocal surgery) 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. I am passionate about delivering gender affirming care at all stages of exploration and/or transition. Rising anxiety: 8 ways to reclaim your calm. Delaying puberty too long may carry risks such as harm to bone density. A safe, welcoming and gender-affirming environment. This is not to be confused with 4 treatments. Let's work together to unpack the blocks to expressing yourself more fully. Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. I have experience providing assessments and letters of support for gender-affirming medical care. Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. Start your transition now. Meltzer is so much more than an accomplished surgeon he is an artist. I feel safe at Outside In. Gender Dysphoria is characterized by an inconsistency between the gender a person identifies as and his/her/their physical gender. My aim is to mitigate these barriers and pave the way for access to care. Our services for patients under 15 are limited for this reason. Designed by Monde Creative, AboutPrismHealthOur Medical ProvidersOur Behavioral Health ProvidersOur Leadership TeamCareers, PrimaryCareGender-AffirmingCareBehavioral Health & Substance SupportPharmacySexual HealthPrEP, MPox Information & GuidanceInsuranceNotice of Privacy PracticesPrivacy PolicyRight to Good Faith EstimateSliding Scale DiscountPatient FormsLaboratory. 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. Call us at 503-413-5600. When the Gender Identity Development Service for Children and Adolescents (GIDS) at the Tavistock and Portman NHS trust in London was established in 1983, it was a different era in terms of the. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Portland, Oregon 97205. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . Pride Clinic. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaardabout deciding to transition. How can you contact us? Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. Rose Haven is a day shelter and community center serving women, children and gender-nonconforming people in Portland. I have been working with clients with Gender Dysphoria for a decade. We understand that the gender journey of every patient is unique, and we are here to help. offer you the chance to share your experience, help others, shape our program, and advance our mission. Call (503) 445-7699 to be connected to our answering service. Learn more Resources for patients Help your child prepare for the many aspects of their transition. Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. Transition desires: Most teens with gender dysphoria will carry it into adulthood. Visit ourevents page and scroll down to "Calendar" to find a meeting. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. An MA I is expected to perform in accordance with established policies, procedures, and regulations. 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. We follow the guidelines set forth by the World Professional Association of Transgender Health (WPATH) to offer care on an informed consent basis for those who are 15 and older, per Oregon law.

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