Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. This allows a longer duration of an electrolysis session with greater clearance of hair. Visit our. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. Learn more about VA Portland's comprehensive mental and behavioral health program. Estrogen and testosterone are hormones that develop some traits and reduce others. 25 received pubertal suppression . Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. To improve accessibility for his patients in the Pacific Northwest, Dr. Meltzer partnered with Legacy Good Samaritan in 2019 to offer Gender Confirmation Surgery once again in Portland. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Please see our team page to find providers. Mental health: We offer psychological and psychiatric care for patients and families. 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. Our clinic primarily provides gender-affirming medical care (such as puberty blockers and gender-affirming hormones). Referrals to specialty providers & community . Scottsdale, AZ 85253. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. I believe strongly that every person deserves to live healthy and full lives as their authentic selves. Gender identity is a persons internal sense of gender, or what a person feels their gender is. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 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 identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. You will also find gender-neutral restrooms across our campuses. Children can stop taking them at any time. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. But great health care is simple: be trustworthy, kind and considerate. This is not to be confused with 4 treatments. I have worked with issues surrounding gender identity for the past three years. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. 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. I help clients to embrace their identities through coming out, social and medical transition, & more. Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. The staff is helpful and amazing. Instead of questioning the obvious group-think dynamic the little girls were experiencing . Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. Testosterone therapy: Long-term risks are unclear. Description. Its important that patients have enough time after surgery for healing and family support. Appointments highly encouraged. The following video was produced for the gala. 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. Not all non-binary people identify as transgender. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. 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. One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. Our services for patients under 15 are limited for this reason. There is no additional fee. But your clinic always operated in a timely manner, and made us feel welcome. Washington. Pride Clinic. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. We dont charge for support, information or patient-education classes. This could be longer or shorter based on the client's hair growth density. I have experience working with transgender and gender non-conforming children, teens, and adults. Doernbecher Childrens Hospital700S.W. Fertility: Suppressants should not affect your childs ability to have children. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. 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. The Gender Clinic at the Barbara Bush Children's Hospital in Maine says it is "dedicated to supporting the health and well-being of transgender, gender diverse and questioning youth across Northern New England. 2001-2022 Oregon Health & Science University. Portland, Oregon 97205. OutCare reviews each OutList profile prior to publicly publishing. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. As a queer non-binary therapist I have first hand, lived experience with gender issues. Gender Spectrum This helps us offer services that match your needs. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. The group meets quarterly to advise the program about programs and services. Like the definition of gender itself, I help you decide your own path, labels and lack of labels. 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. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team I have experience working with children, teens and adults who are questioning their gender, going through gender transitioning, or just needing a safe space to discuss life as a gender non-conforming person. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. We have researched how testosterone therapy affects voices, leading to recommendations for voice therapy. The Transgender Health Program THP for short provides support, information and advocacy. Portland, ME 04103 Tel. . 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. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. WPATH standards of care are used in therapy and letter writing. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. 2021 Outside In - All Rights Reserved. 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. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. I am open to learning about and exploring identities outside of this list as well. Our treatment is different for every person and we use evidence-based treatments. Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming: Our compassionate providers are leaders in their fields who have developed best practice guidelines in transgender health that are used throughout Kaiser Permanente. Learn more. We also provide treatment into young adulthood for some patients, and we help them move into adult care. We recommend starting with a mental health evaluation for your child, which we can help arrange. 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. 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. Tobin Cox joins clinical program managerAmy Penkin totalk about transitioning as a new employee. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. Clinic RN - Pediatric Surgery. Gender Language ; Monica Llado-Farrulla, M.D. The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. We take most health insurance, including OHP. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. Hand numbness, tingling or pain can have many causes and treatments. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. for any health care need,such as primary care, mental health care and gender-affirming services. Find a Location Connect with us at one of our Portland-area locations. OHSU is building a pediatric patient registry to better track outcomes and improve treatments. See our For Health Care Professionals page for details. Legacy Diabetes and Endocrine Clinic 501 N. Graham St., Suite 375 Portland, OR 97227 Map/Directions Hours: Monday-Friday, 8:30 a.m. to 4:30 p.m. How can you contact us? We appreciate your patience and will respond to you as soon as possible. I am a non-binary gender therapist with lived experience and interest in unique identities. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. If you dont see the number you need below, call OHSUs main number: 503-494-8311. We assess each child individually. Pediatric Specialty Care The Gender Clinic Developmental Behavioral Pediatrics Endocrinology Diabetes Gastroenterology Genetics Infectious Disease Nephrology Pulmonary Medicine Contact Us Phone:207-662-5522 Toll Free: 866-860-6277 MaineHealth Maine Medical Partners Practices Pediatric Specialty Care Pediatric Specialty Care We also recommend that patients and their families get mental health support throughout transition. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. Many are also international experts who publish studies and who speak across the nation and overseas. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. Dr. Meltzer is board-certified in both General and Plastic Surgery. We also provide treatment into young adulthood for some patients, and we help them move into adult care. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. I wanted to belong. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. For information about your benefits coverage, please contact Member Services at 800-464-4000. I am a parent, a husband, and an artist. See our insurance page to learn more about payment options. I feel safe at Outside In. I also support folx to access medical transition like surgeries with low-barrier, single session, & sliding scale gender affirming consults. We value input from patients, providers and community members. 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. Small implants placed under the skin of the inner upper arm. And I'm here to write letters to help with accessing medical care too. What to expect: We usually do not prescribe medications during the first visit. To schedule a medical appointment, please call503.535.3860and select option 1. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. Menu. We dont charge for support, information or patient-education classes. 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). 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. LMFT. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. who we . Gender Pathways is a unique place for Kaiser Permanente members to receive integrated care in a comfortable, supportive setting. Phone: 207-662-5093 or 866-860-6277 They have proved safe and effective in cisgender children. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. Do you need a letter, or support on your gender journey? I consider it an honor to be trusted by so many in this community. 3550 N Interstate Ave Portland, Oregon 97227 800-813-2000 genderpathways.org Christina E. Milano Top Doctor: Transgender Medicine OHSU Primary Care Clinic - Richmond - Family Medicine 3930 SE Division St Portland, Oregon 97202 503-418-3900 ohsu.edu 921 SW Washington Street, Suite 750 Portland, OR 97205 Phone: 503-222-5144 Fax: 503-227-8777 Collaboration: We confer monthly with other transgender health programs. 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. You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. You are invited to our quarterly Grand Rounds. Learn how to apply. 602-246-1966. OHSU pioneered a unique physical therapy treatment for vaginoplasty patients. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. Community health workers and student nurses are available to address medical needs. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. The Medical Assistant (MA) I works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients. They may want to begin their transition as soon as possible. Gender expression is a passion of mine. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. offer you the chance to share your experience, help others, shape our program, and advance our mission. Your feedback: We value input from patients, providers and community members. Licensed Pharmacy Technician in the state of Oregon (or ability to obtain licensure within 30 days of employment) Full COVID-19 vaccination is an essential job function of this role. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. Our specialists meet every month to pool their expertise on complex cases. (The call is private and personal to your questions and concerns.) We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. We are happy to meet with you and your child before that, though. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Then we generally follow WPATH guidelines for recommending treatment. Patients 18 and older can self-refer to the Gender Pathways Clinic they only need to call and set up an appointment. 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. 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. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. I couldnt have asked for a better experience with Dr. Meltzer and his staff. You'll find: Puberty specialists who treat hundreds of patients a year. 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. 5702 North 19th Avenue, Phoenix Arizona, 85015. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Contact Us Southern California Kaiser Permanente members can call the Transgender care line at 323-857-3818 Monday through Friday 7:30 am to 5:00 pm to speak to a nurse case coordinator. The child is stable enough to start treatment. Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. We dont require patients to transition socially before starting hormone therapy. Some changes, such as to fertility or a deeper voice, may be permanent. Your one-time or recurring gift will help us ensure everyone in our community has access to safe, compassionate, and affirming primary care, behavioral health, and pharmacy services, regardless of ability to pay. They treat hundreds of patients a year. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. I continue to provide affirmative care for the community and their families. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. Suppressants taken later in puberty dont reverse changes but can stop new ones. We do not believe all patients will benefit from the same services. 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. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. We are currently accepting new patients. He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. Access to family-centered services for children and teens. Background image: THP - Transgender Health Program volunteer Jess G. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaard, Help arranging health care services. As more transgender children seek medical care, families confront many unknowns IN TREATMENT: Ryace Boyer, a 14-year-old high-school student, prepares to take the female hormone estrogen as part of. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. These are usually replaced every one to two years if pubertal suppression continues. And build relationships that last. Fertility services: Some treatments affect fertility. 400 Oakland, CA 94612 Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. A mere 13 months later, Ashe . He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. . If a patient is already working with a therapist, we will talk with that therapist about treatment. Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. It's OK to ask for help. Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. Southside Fertility Center. 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! 2001-2022 Oregon Health & Science University. Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. Many people treat gender dysphoria by physically modifying their bodies through surgery so that they better match their gender identities. Team-based care: OHSU providers work together to make sure you get the care you need. LGBTQ HEALTHCARE SERVICES. Jean Bryant, grateful that her worst fears about transitioning did not come true, now helps others. This helps us offer services that match your needs. Were studying how testosterone is given to teen patients to find the best methods. They often take several months to start working. A stable life: Teens may have lived comfortably in their gender identity for a year or more. Some parts of this site won't work without it. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. 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. On average, the typical first clearance will be an average of 6+ hours. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. We repect your privacy. By signing up, you agree to receive news about CAP, Prism Health, Our House, and our services via our email newsletter. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. We prefer that patients get a mental health evaluation before starting hormones. Want to use our data? Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. Insurance Coverage for Gender Care. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. Gender affirming care, gender consult and support letters. OHSU is an equal opportunity affirmative action institution. Comprehensive care that includes experts in primary care, hormone therapy and mental health. The OutList is open to all healthcare providers of any identity, distinction, and specialty. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Its really nice to have a doctor who makes house calls when one is recovering from surgery. 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. Today, as Reed recovers from her own gender confirmation surgery, the map is spreading on social media again, now with 862 mapped locations and almost 1.8 million views. 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. They were always there for us anticipating our needs. We will explore any necessary transition steps, including social and medical transition. Office : 480-657-7006. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. I write letters of support for those seeking gender affirming care. The Doernbecher Gender Clinic works with the, Call Doernbecher Pediatric Endocrinology at, Bridges Program (Pediatric Palliative Care), Childrens Palliative Care FAQ and Resources, Emotional Support and Preparation for Siblings, Facility Dogs and Animal-Assisted Therapy, Adolescent and Young Adult Hematology/Oncology, World Professional Association for Transgender Health (WPATH) guidelines for care. We will: Get your childs medical history and family history. But we can connect you with OHSU providers. Connect with us at one of our Portland-area locations. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Delaying puberty too long may carry risks such as harm to bone density. I also provide readiness evaluations for those seeking medical transitions. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. My aim is to mitigate these barriers and pave the way for access to care. 12115 SW 70th Ave, Suite 101 Portland, Oregon 97223. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information 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. We give treatment to children and their families from childhood through adolescence." Maryland 19. Portland, OR 97239 : F : English : Ross Passo, M.D. The staff took my concerns seriously, and took a holistic approach. 2022 Cascade AIDS Project, Inc. All rights reserved. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis.