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Consultation Process

1

Referrals

We accept referrals for anyone aged 18 and over, from any specialist gender psychiatrist/ psychologist following a supportive gender dysphoria/ incongruence diagnosis. 

 

We do not provide bridging hormones. 

We are happy to accept patients who have previously been started on hormones by other clinicians, provided they have a supportive gender dysphoria/ incongruence diagnosis.

2

Hormone Therapy

During your consultation a full medical history will be taken along with details of any relevant lifestyle choices. We will discuss each individuals’ expectations of hormonal goals.

 

Factors such as age, smoking history, BMI and family history can influence cross-sex hormone options.

 

Safety is key and it underpins our clinical practice, however we do endeavour to offer a high degree of patient centred individualised care plan to meet your needs.

3

Pre-Clinic Preparation

Usually, patients have obtained up-to-date blood test results at the time of diagnosis and many gender specialists in fact advise patients on the blood tests needed to be considered for hormones.

 

If you don’t have up-to-date blood test results prior to your diagnosis assessment, it is vital you get the tests done before requesting an appointment to see us.

Required prior to a consultation

4

Pre-Clinic Requirements

If you don’t have up-to-date blood test results prior to your diagnosis assessment, it is vital you get the tests done before requesting an appointment to see us.

We require the following prior to a consultation:

5

Test Results Required

  • Full blood count

  • Urea and electrolytes

  • Liver function tests

  • Lipids

  • HbA1c

  • Bone profile- including calcium

  • Testosterone

  • Oestradiol

  • SHBG

  • Prolactin

  • FSH/LH

  • Free T4

  • TSH

6

Additional Required Information

  • Weight

  • Height

  • Blood pressure* - from GP/ practice nurse. *If you are unable to obtain this from your GP, please go to Boots or Lloyds chemist for a print-out

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