Trans Gender Health
Specialist endocrinology is been viewed as an essential part of hormonal affirmation for all trans and gender diverse people, with Endocrinologists being the key to access and provision of hormones. This means skilled Endocrinologists are required to see healthy trans people. An Endocrinologists might be one part of a larger multidisciplinary network of health professionals facilitated by a GP who work in partnership with trans patients to manage their hormonal and medical needs.
With the majority of hormonal affirmation managed through primary care, Endocrinologists can manage the care of trans people with more complex needs, contraindications, and endocrine issues.
When is specialist endocrinology necessary?
Working with an Endocrinologist can be helpful for trans patients when:
A hormonal profile at baseline or once commenced is atypical
Complex physical health co-morbidities are present
Complications arise if/when initiating hormones
Pubescent adolescents are making decisions about hormone use
Trans people are in their 50s and above
For assistance with lactation induction in trans women
A patient wants to see an Endocrinologist
Testosterone and the PBS
Accessing PBS-listed testosterone does currently require an additional step where a doctor (or the patient) will need to consult with an Endocrinologist, Sexual Health Doctor or Urologist. This only needs to happen once.
Referrals
We refer inhouse to our Mental Health Nurse if required and if further investigations or consulations with other services are required we refer to other services known to be inculsive and safe.
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