Emory's Transgender Clinic provides unified health care and a single point of contact for the needs of transgender and gender non-binary individuals. What makes us different is our multi-specialty approach which uses physicians throughout the Emory Healthcare Network and beyond to create the backbone of our program. Keep reading to learn more about the treatments and services we offer.

Treatments & Services

Hormone Therapy and Consultation

Transgender Patient Hormone Therapy for Men and Women

Many transgender men and women include hormone therapy as a component of the gender affirmation process. Transgender men, for instance, use exogenous testosterone to stimulate virilization and overcome feminizing characteristics. Transgender women take exogenous estrogen as part of their hormone therapy to promote feminization and add anti-androgens to help suppress masculinizing characteristics. Presently, there are guidelines to assist hormone specialists in selecting suitable beneficial hormone therapy for transgender patients.

What is Transgender Hormone Therapy

Gender affirming hormone therapy has demonstrated positive physical and psychological effects for those transgender patients undergoing the gender affirmation process and is regarded as a necessary treatment for most transgender patients. However, many health concerns should be closely monitored for transgender patients undergoing long-term gender affirmation hormone therapy.

A common issue encountered by transgender persons is the disconnect between their sex assigned at birth and their affirmed gender. Those assigned female at birth but identify as men are considered transgender men, while those assigned male at birth but identify as women are considered transgender women.

Recommendations

Before our transgender patients begin receiving hormone therapy, we recommend they:

  • Confirm their gender identity and if possible, discuss their transition with family and friends for support during the gender affirmation process
  • Undergo a medical evaluation for health issues that might hamper the gender affirmation process or become worse with gender affirmation hormones
  • Understand the costs involved of gender affirmation and what insurance coverage is available
  • Get assistance from a mental health provider to help express gender identity and support them with mental health concerns that may arise during the affirmation process

Testosterone Hormone Therapy for Transgender Male Patients

Testosterone is safe when taken under medical supervision. Health concerns that may arise during gender affirmation hormone therapy with testosterone may include the following:

  • Infertility - Testosterone therapy may reduce fertility and consultation with a reproductive specialist is recommended
  • Skin changes - Oiliness, acne, increased hair growth
  • Increased red blood cell count - Termed “polycythemia”
  • Changes in cholesterol
  • Increased abdominal fat and muscle mass
  • Enlargement of genital organs
  • Change in voice

Estrogen for Transgender Female Patients

Estrogen and anti-androgen therapy are safe when taken under medical supervision. Health concerns that may arise during gender affirmation hormone therapy with estrogen and an anti-androgen include:

  • Infertility - Estrogen may reduce fertility and consultation with a reproductive specialist is recommended
  • Blood clots in the legs or lungs
  • Risk of stroke
  • Changes in cholesterol
  • Increased body weight including fat mass and decreased muscle mass

Make an Appointment

To get started, please first make an appointment with an Emory Healthcare endocrinologist by calling 404-778-3280.

Transgender Clinic Location

Emory University Hospital Midtown – Medical Office Tower
550 Peachtree St NE
19th Floor Suite 1950
Atlanta, GA 30308

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