Consent for Hormone Clinic Service for Gender Identity
- Karen Impey
- Oct 20
- 2 min read
About Consent for Hormone Clinic Treatment
We see patients in clinic after they have had a diagnosis made of Gender Dysphoria. The waiting list for the hormone clinic is lengthy. Patients are seen by a hormone clinician, counselled and provided with full written consent to hormone treatment. Here is a copy of our detailed consent forms which also has information regarding what to expect from cross sex hormones, common side-effects and complications:
We provide hormone care. We are not commissioned to provide or arrange any investigations. We will offer dose titration, administration, initiation, duration of treatment, monitoring, interpretation of laboratory results and likely treatment effects. To support this process, we review our patients in clinic and followup to check that they are well established on hormones. We review patients, stabilise their hormone regimen, then continue with monitoring and ongoing care.
Hormones are off license use and unlikely to be licensed for this indication in the future. Prescribing off license medication GMC Guidance;
“Most of the medications used for the treatment of gender dysphoria are not licensed for this specific indication, although GPs will be familiar with their use in primary care for other purposes.”
Fertility Preservation / Gamete Storage:
We would advise that patients should be offered the choice of referral to a provider to store gametes before they engage in any self-prescribed, private or NHS prescribed hormone treatment. This referral can be made directly by the GP. Further information can be found here at the Human Fertilisation and Embryology Authority: https://www.hfea.gov.uk/treatments/fertility-preservation/information-for-trans-and-non-binary-people-seeking-fertility-treatment/
Hormone Equivalent Doses and Shortages:
We are told that there is not a shortage of Sustanon at present but we do seem to have multiple parties contacting us with difficulty obtaining this. We would recommend a switch to Testosterone Enanthate at the same dose and frequency that you were receiving Sustanon.
· Switching between testosterone
· Conversion table for Estradiol
Also read our article about Troubleshooting and FAQ for hormones:
