8 doctors weighed in:
I'm transgender and I want to start hormone therapy . How do I start the process? Do I go into see a doctor or do I talk to a therapist first?
8 doctors weighed in

Dr. Ana Adelstein
Clinical Psychology
4 doctors agree
In brief: Best Practices:
Find a trans-competent mental health specialist who'll be able to assess your understanding of the benefits and risks for you of hormone treatment, and who can then refer you to a trans-competent physician to determine which hormone treatment(s) would be most suitable for you.
Familiarize yourself with the current wpath standards of care: http://bit.Ly/nwkqv5.

In brief: Best Practices:
Find a trans-competent mental health specialist who'll be able to assess your understanding of the benefits and risks for you of hormone treatment, and who can then refer you to a trans-competent physician to determine which hormone treatment(s) would be most suitable for you.
Familiarize yourself with the current wpath standards of care: http://bit.Ly/nwkqv5.
Dr. Ana Adelstein
Dr. Ana Adelstein
Thank
1 comment
Dr. Ana Adelstein
WPATH - the World Professional Association of Transgender Health has a doctor referral directory. Check it out here: http://bit.ly/WBprqT Get other information about medical standards of care for trans-identified individuals from the Center of Excellence for Transgender Health @ U of California, San Francisco here: http://bit.ly/sAAXNk
Dr. Rixt Luikenaar
Obstetrics & Gynecology
3 doctors agree
In brief: Both!
Wpath guidelines recommend you see a therapist first as per dsm (psychiatric diagnoses) then your therapist will provide a letter you can take to an endocrinologist or any specialist in transgender health in your area (there are not that many docs comfortable with this), or start by asking your familydoc or look at the local glbtq site for a good doc.

In brief: Both!
Wpath guidelines recommend you see a therapist first as per dsm (psychiatric diagnoses) then your therapist will provide a letter you can take to an endocrinologist or any specialist in transgender health in your area (there are not that many docs comfortable with this), or start by asking your familydoc or look at the local glbtq site for a good doc.
Dr. Rixt Luikenaar
Dr. Rixt Luikenaar
Thank
Dr. Valentin Drezaliu
Obstetrics & Gynecology
2 doctors agree
In brief: Counsel first
Get counseled first.
It s a very good ideea. Hormonal therapy will cause some irreversble changes to your body. You need to know exactly what will happen with your body. Then after everything is clear in your mind you can proceed as desired. Take drugs prescribed only by a doctor, do not selfmedicate.

In brief: Counsel first
Get counseled first.
It s a very good ideea. Hormonal therapy will cause some irreversble changes to your body. You need to know exactly what will happen with your body. Then after everything is clear in your mind you can proceed as desired. Take drugs prescribed only by a doctor, do not selfmedicate.
Dr. Valentin Drezaliu
Dr. Valentin Drezaliu
Thank
Get help from a real doctor now
Dr. Jane Van Dis
Board Certified, Obstetrics & Gynecology
14 years in practice
47M people helped
Continue
108,000 doctors available
Read more answers from doctors