Gender identity is a persons internal sense of gender, or what a person feels their gender is. The Meltzer Clinic Providers - The Meltzer Clinic PC. Rising anxiety: 8 ways to reclaim your calm. 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. Some parts of this site won't work without it. 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. The child has given informed consent. PDF Gender Pathways clinic - Portland, Oregon And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). The result is less pain plus fewer overall number of sessions, which reduces cost. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. Gender affirmation surgery (previously gender confirmation surgery) for individuals looking to transition: transfeminine or transmasculine. Access to family-centered services for children and teens. Comprehensive care that includes experts in primary care, hormone therapy and mental health. We look forward to partnering with you on your comprehensive health care needs. We dont charge for support, information or patient-education classes. WPATH-informed. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. Review treatment options, and their benefits and risks. She is also a member of . Then we generally follow WPATH guidelines for recommending treatment. The Gender Clinic is dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Delaying puberty too long may carry risks such as harm to bone density. 2023 Maine Medical Partners. If you dont see the number you need below, call OHSUs main number: 503-494-8311. The Transgender Health Program THP for short provides support, information and advocacy. I want you to feel empowered to show up as your whole self, regardless of the context. A mere 13 months later, Ashe . Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. And build relationships that last. Like the definition of gender itself, I help you decide your own path, labels and lack of labels. more than one gender. I am a parent, a husband, and an artist. LGBTQ+ Resources - Northern Light Health OutCare reviews each OutList profile prior to publicly publishing. 2021 Outside In - All Rights Reserved. Small implants placed under the skin of the inner upper arm. 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. Most teens have the maturity to make these decisions by age 16. We will talk with you about options, what to expect and possible risks. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. See our. Your provider would answer any questions that you have, and make sure that you fully understand everything on the form before you sign it. Phone: 207-662-5093or 866-860-6277 I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. I have extensive experience working with adolescents and adults experiencing gender dysphoria. 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). 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. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. There is no additional fee. Onsite self-injection lessons for hormone injections. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. Prism Health I'm here to help. 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. LMFT. Gender expression is a passion of mine. Uh oh. The group meets quarterly to advise the program about programs and services. We believe that trying to change a persons gender identity is harmful. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. Our clinic primarily provides gender-affirming medical care (such as puberty blockers and gender-affirming hormones). Bone-building exercises and taking calcium and vitamin D can help. 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. The Gender Clinic | Maine Medical Partners - MaineHealth If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. They have proved safe and effective in cisgender children. Gender identity clinic (GIC) - Tavistock and Portman Dr. Toby Meltzer - Gender Reassignment Surgery in Arizona & Oregon It causes some of the changes a child goes through in puberty. An MA I is expected to perform in accordance with established policies, procedures, and regulations. 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 Transgender Health Program | OHSU Through these connections I was able to get into school and graduate as a Certified Medical Assistant. We take most health insurance, including OHP. When appropriate, we also offer virtual visits where you can . I have experience supporting individuals and families who are navigating the transition process and I'm able to write letters in support of your process as needed. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. It is a great moment. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. Guide you through the consent process, which can be complex. Gender Health Services and Transgender Care 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. We are currently accepting new patients. I have attended several specialized trainings for working with gender identity issues before and during that time. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Not all non-binary people identify as transgender. We have researched how testosterone therapy affects voices, leading to recommendations for voice therapy. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. Call us at 503-413-5600. That essentially puts the puberty system to sleep. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaardabout deciding to transition. On average, the typical first clearance will be an average of 6+ hours. Transgender describes people whose gender identity or expression differs from their assigned sex at birth. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. Transgender Law Center 1629 Telegraph Ave., Ste. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. All Rights Reserved. Hormone therapy also affects people in different ways and at different rates. I also support parents looking for resources while they may have a child transitioning. For New Patients. Vancouver Clinic is searching for a full time Medical Assistant to join the Internal Medicine team at NW Portland! The Meltzer Clinic PC homepage | Plastic & Reconstructive Surgeons The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. PrEP, a once-a-day medication to prevent HIV transmission, might be a good choice for you if you are at risk for HIV transmission or want to add more peace of mind to your life. Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. View our Specialties We have more than 30 areas of practice, including Urgent Care. I have been working with clients with Gender Dysphoria for a decade. Appointments highly encouraged. Gender Spectrum The Evidence for Trans Youth Gender-Affirming Medical Care I've spent years supporting my clients to come more deeply into their true expression. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information Our clinic accepts new patients through age 18. Its important that patients have enough time after surgery for healing and family support. Mabel Wadsworth Center offers a safe and affirming environment." Services include: Abortion Care Annual Wellness Exams Birth Control Cancer Screenings Colposcopy Infertility Consultation Intrauterine Insemination LGBTQ Healthcare Gender Affirming Hormone Therapy Men's Health Menopause Consultation Mental Health Counseling LGBTQ+ Community | The Official Guide to Portland They arent effective until then. Outside In shaped me. 9 Trans Patients Lodge Shocking Complaints About Sex-Change Surgeries You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Description. Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. 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. Visit ourevents page and scroll down to "Calendar" to find a meeting. We dont charge for support, information or patient-education classes. We will: Get your childs medical history and family history. 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. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. 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. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Learn more Resources for patients Help your child prepare for the many aspects of their transition. Menu. 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. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). I have experience working with transgender and gender non-conforming children, teens, and adults. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center 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 couldnt have asked for a better experience with Dr. Meltzer and his staff. Gender Affirming Care and Culturally Specific Resources - Portland.gov Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . They often take several months to start working. An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. Located inside the new Equality Community Center at 15 Casco St in Portland, ME, Safe Combinations is a project of MaineTransNet. I identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. We do not believe all patients will benefit from the same services. 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. I hold a healing space where trans and nonbinary folx can enter into your healing work without having to explain yourself or make yourself smaller. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. 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. Its really nice to have a doctor who makes house calls when one is recovering from surgery. Gender Health Services and Transgender Care Specialties: About Broadway Foot and Ankle Clinic At Broadway Foot and Ankle Clinic, the dedicated team of expert podiatrists provides comprehensive foot and ankle care for children, adults, and seniors. Many are also international experts who publish studies and who speak across the nation and overseas. 5702 North 19th Avenue, Phoenix Arizona, 85015. Patients can now choose between either Scottsdale or Portland for surgery dates. Training for OHSU employees and for health care professionals in the community. OHSU is dedicated to inclusive care and to offering welcoming facilities. Learn more. For more information about gender: The Gender Clinic The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. Gender and Sexual Health Services for Children, Teens, and - Lifespan My aim is to mitigate these barriers and pave the way for access to care. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. Puberty specialists who treat hundreds of patients a year. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. 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. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Many are also international experts who publish studies and who speak across the nation and overseas. 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? Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. Throughout my training, I have focused on working to apply what I have learned to help people navigate gender. We assess each child individually. To schedule a medical appointment, please call503.535.3860and select option 1. Team-based care: OHSU providers work together to make sure you get the care you need. 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. Transgender Health Services | Legacy Health Additionally, in children, gender dysphoria can manifest itself as feelings of disgust with their own genitals and a certainty that they will grow up to be the opposite sex. We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. 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. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. I am also qualified to write letters of recommendation for gender-affirming surgeries. Gender Care Center | Randall Children's Hospital | Legacy Health Hormone therapy doses how much and how often are typically different for teens than for adults. TransActive Gender Project - Lewis & Clark College Health Matters - The Portland Clinic The Vancouver Clinic Medical Assistant - NW Portland location Job in Family support from a psychologist, psychiatrist and social worker. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. See our For Health Care Professionals page for links to published studies by OHSU providers. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. We are happy to meet with you and your child before that, though. If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. I also support folx to access medical transition like surgeries with low-barrier, single session, & sliding scale gender affirming consults. Primary care: We coordinate with pediatricians and family medicine providers to make sure patients get comprehensive care. Doernbecher Childrens Hospital700S.W. I am open to learning about and exploring identities outside of this list as well. The THP serves as an umbrella for gender-affirming services at OHSU. Offices & Services . Gender Affirmation Surgery - University of Utah We usually do not prescribe medications during the first visit. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. Transgender Medicine | Top Medical Providers 2022 | Portland Monthly 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. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. Our medical system currently creates many barriers to gender-affirming care. 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 take most health insurance, including OHP. What a racket. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. Whatever decisions you make about your health, we listen and provide support without judgment. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis.