207.878.6170 Fax 207.878.6172. about. Its really nice to have a doctor who makes house calls when one is recovering from surgery. 400 Oakland, CA 94612 Dr. Twitter content To honor your privacy preferences, this content can only be viewed on the site it originates from. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. Our drop-in and event space on North Mississippi Avenue is a frequent first stop for new arrivals in Portland, and for longtime residents who are newly out or questioning their sexual or gender identity. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. Psychological, medical or social problems that could disrupt treatment have been addressed. It taught me how to be kind to people less fortunate. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. It gives adolescents time to explore their gender. Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. Outside In made me want to be around excellence. This allows a longer duration of an electrolysis session with greater clearance of hair. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. We take most health insurance, including OHP. We have more than 30 areas of practice, including Urgent Care. TransHealthCare.org uses cookies and other tracking technologies to improve your browsing experience on our website, to analyze our website traffic, and to understand where our visitors are coming from. I've completed professional training in gender-affirmative care and I have experience working with binary trans, non-binary, agender, and other gender-diverse folks. Some changes, such as to fertility (the ability to have biological children) or chest development, may be permanent. Most teens have the maturity to make these decisions by age 16. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. For more information about gender: The Gender Clinic The Meltzer Clinic Providers - The Meltzer Clinic PC. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. Therapy can aid in navigating to understanding your gender identity to feel more at ease and comfortable while you become the self you want to be. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. Our team is focused on the entire well-being of each patient. Tobin Cox joins clinical program managerAmy Penkin totalk about transitioning as a new employee. For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. Suppressants taken later in puberty dont reverse changes but can stop new ones. We value input from patients, providers and community members. Team-based care: OHSU providers work together to make sure you get the care you need. A Portland hospital advises young boys to squash their developing genitals and refers them to a sex shop for 'gender-affirming items.'. Appointments highly encouraged. See our rate sheet for details on fees. Start your transition now. The investigation has also revealed that doctors from the clinic advised teachers to "affirm" an entire group of fifth graders - ages 10 and 11 - who showed up to the clinic en masse asking to be transitioned from female to male. Our specialists meet every month to pool their expertise on complex cases. As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. Some teens may go on to transition with hormone therapy or surgery. He started performing Vaginoplasty at OHSU in 1993. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more As a co-conspiritor, I honor your process-- YOU are the expert on YOU! Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. Find a Location Connect with us at one of our Portland-area locations. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. 3550 N Interstate Ave Portland, Oregon 97227 800-813-2000 genderpathways.org Christina E. Milano Top Doctor: Transgender Medicine OHSU Primary Care Clinic - Richmond - Family Medicine 3930 SE Division St Portland, Oregon 97202 503-418-3900 ohsu.edu 921 SW Washington Street, Suite 750 Portland, OR 97205 Phone: 503-222-5144 Fax: 503-227-8777 Milwaukie High School Health and Wellness Center, Mental Health and Substance Use Recovery Supports, Gender Affirming Hormones (GAH, also called HRT), Breast/chest health and preventative screenings, Pelvic wellness, including cervical cancer screenings, HIV/STI screening, treatment, and prevention (including PrEP), Behavioral health services and counseling resources, Information, advocacy and limited financial aid for obtaining legal name and/or gender changes. They treat hundreds of patients a year. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. natal sex or sex assigned at birth.. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. We confer monthly with other transgender health programs. I write letters of support for those seeking gender affirming care. Designed by Monde Creative, AboutPrismHealthOur Medical ProvidersOur Behavioral Health ProvidersOur Leadership TeamCareers, PrimaryCareGender-AffirmingCareBehavioral Health & Substance SupportPharmacySexual HealthPrEP, MPox Information & GuidanceInsuranceNotice of Privacy PracticesPrivacy PolicyRight to Good Faith EstimateSliding Scale DiscountPatient FormsLaboratory. See our insurance page to learn more about payment options. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. We dont charge for support, information or patient-education classes. If you would like a list of other health services offered at Outside In, please visit theHealth Servicespage for more information. I wanted to belong. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team Molly Palmer and her wife, Melissa,reflect on Mollys transition. If you are not currently a Kaiser Permanente member and are interested in becoming one, please check out your options on. By the time I was 17, I didn't trust anybodyexcept Outside In. This study was from a gender clinic in Dallas, Texas. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. Pride Clinic. We also recommend that patients and their families get mental health support throughout transition. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. We are happy to meet with you and your child before that, though. OHSU providers who work with the THP specialize in gender-affirming health care. 233(g)-(n). Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. This group is for parents and guardians of active patients at The Gender Clinic. Schedule is Monday through Friday, 8:00a . The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. We'll explore your experience and needs collaboratively and compassionately. They also understand how to pair treatments with the pace and sequence of changes. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. Fertility: Suppressants should not affect your childs ability to have children. Transgender Health Program Community meetings: We invite you and your allies to help shape our program. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. Hand numbness, tingling or pain can have many causes and treatments. Bellevue . To schedule a medical appointment, please call503.535.3860and select option 1. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. I have attended several specialized trainings for working with gender identity issues before and during that time. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. I am open to learning about and exploring identities outside of this list as well. (480) 657-7006. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. Sometimes we refer to sex as We prefer that patients get a mental health evaluation before starting hormones. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. Children can stop taking them at any time. A typical "full" clearing would consist of the entire mapped area being treated and the electrologist making the area hair free by the end of service. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Some changes, such as to fertility or a deeper voice, may be permanent. How they love us, care for us. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. Injections are only available with a minimum of one hour of electrolysis. The New England Gender C.A.R.E. Your feedback: We value input from patients, providers and community members. Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. They were always there for us anticipating our needs. This helps us offer services that match your needs. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. who we . Specialties: About Broadway Foot and Ankle Clinic At Broadway Foot and Ankle Clinic, the dedicated team of expert podiatrists provides comprehensive foot and ankle care for children, adults, and seniors. Learn how to apply. Small implants placed under the skin of the inner upper arm. Oregon Health & Science University (OHSU) medical network offers a Gender Clinic for chest binding, puberty blockers, and transgender health program. I provide affirming space to explore sexuality and gender identity and to process how that may be implicated in relationships with family, friends, intimate partner violence, and sexual trauma. Gender affirming care, gender consult and support letters. Contact Us Southern California Kaiser Permanente members can call the Transgender care line at 323-857-3818 Monday through Friday 7:30 am to 5:00 pm to speak to a nurse case coordinator. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Portland, Oregon 97205. VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . I have been working with clients with Gender Dysphoria for a decade. I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. (The call is private and personal to your questions and concerns.) Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. I also support folx to access medical transition like surgeries with low-barrier, single session, & sliding scale gender affirming consults. Read this first. You don't have JavaScript turned on. Insurance Coverage for Gender Care. I identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. For example, several key staff members from The Meltzer Clinic are still based in Portland. You do not need a referral for a primary care appointment. 7025 N. Scottsdale Road #302. Below are some resources available within our Moda and Kaiser plans. OHSU clinics you may visit set their own charges, though. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. Through these connections I was able to get into school and graduate as a Certified Medical Assistant. Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. Fertility services: Some treatments affect fertility. Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . Whether youre LGBTQIA+, BIPOC, facing health disparities, at the intersection of these identities, or just want a safe, non-judgmental health-care experience, we are here to help you Shine Brighter! Transgender describes people whose gender identity or expression differs from their assigned sex at birth. I have extensive experience working with adolescents and adults experiencing gender dysphoria. If you speak a language other than English, we can arrange an interpreter for you. Our Portland women's health team brings together broad clinical expertise and deep understanding of the unique needs of women during every phase of their lives to provide the whole-person care you need and deserve every step of the way. Onsite self-injection lessons for hormone injections. The Gender Identity Development Service (GIDS) is for children and young people, and their families, who experience difficulties in the development of their gender identity. Want to use our data? Hormone therapy doses how much and how often are typically different for teens than for adults. More than 100 doctors provide comprehensive, specialized care for you and your family. OHSU providers work together to make sure you get the care you need. Learn more on our For Health Care Professionalspage. When the Gender Identity Development Service for Children and Adolescents (GIDS) at the Tavistock and Portman NHS trust in London was established in 1983, it was a different era in terms of the. Members apply to serve two-year terms. Outside In is a 501(c)(3) tax exempt organization (EIN: 93-0567549). Master of Arts in Marriage, Couple, and Family Therapy. Please see our team page to find providers. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. Clinic RN - Pediatric Surgery. Phone: 207-662-5093or 866-860-6277 , please. If you have come to help me, you are wasting your time. Typically, we see patients every three to four months. My experience includes academic training as well as my personal experience. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. 2023 Maine Medical Partners. Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Dr. Jens Berli talks about gender dysphoria and his passion for his work at OHSU. 2001-2022 Oregon Health & Science University. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. OutCare reviews each OutList profile prior to publicly publishing. Adding your gender identity & preferred name to your health record helps your VA providers personalize your care. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. A Catholic Response to Gender Identity Theory addresses "tsunami" of gender ideology "We are heavily influenced by the culture around us," says Archbishop Alexander Sample of the Archdiocese of. We will: Get your childs medical history and family history. You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. WPATH-informed. I have experience working with teens and young adults in exploring gender identity. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Office : 480-657-7006. Gender affirming care should be a human right. Doernbecher offers psychological and psychiatric care. Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. People with gender dysphoria are typically referred to as transsexual or transgender. I'm well versed in the WPATH & the emerging 'Informed Consent' standards of care, as well as associated psycho-social challenges (e.g., social anxiety) experienced by transgender and gender-queer people. We can answer questions and discuss: Specialists: We recommend that your child see a specialist in treating puberty-related conditions, such as: Our specialists, for example, can identify the start of puberty. As a queer person, it is important to me to create space in my practice to serve my community. And I'm here to write letters to help with accessing medical care too. Changing lives. Sometimes gender identity is confused with gender expression. Our Gender Pathways Clinic is located in our Interstate Medical Office East on the third floor at 3550 N. Interstate Ave. To learn more or to schedule an appointment, call 503-249-6748 or toll free at 1-800-813-2000. I also support parents looking for resources while they may have a child transitioning. Sex is decided based on anatomy, hormones and DNA. I have received academic training on working with gender non-conforming folks as well as my personal life experience. Comprehensive care that includes experts in primary care, hormone therapy and mental health. To improve accessibility for his patients in the Pacific Northwest, Dr. Meltzer partnered with Legacy Good Samaritan in 2019 to offer Gender Confirmation Surgery once again in Portland. Doernbecher Children's Hospital in Portland has been . Call us at 503-413-5600. For New Patients. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. of care. Instead of questioning the obvious group-think dynamic the little girls were experiencing . The group meets quarterly to advise the program about programs and services. Your child also may receive hormone treatments such as: Puberty produces hormones in pulses that spur development, but suppressants deliver a steady amount. Testosterone: Testosterone is usually injected into muscles or just under the skin. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. By signing up, you agree to receive news about CAP, Prism Health, Our House, and our services via our email newsletter. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. I work with families and individuals to explore the gender spectrum in support of exploration with who we are as unique human beings and how to navigate systems: society's idea of who we are (binary polarities) and other essential areas. I help clients to embrace their identities through coming out, social and medical transition, & more. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. Call (503) 445-7699 to be connected to our answering service. WPATH standards of care are used in therapy and letter writing. OHSU is an equal opportunity affirmative action institution. I bring my own experience of being trans and want to be here for your experience of gender: your story, your life, your identity, and your family, culture, and communities. She is also a member of . Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. Bethany Blvd.Beaverton, OR 97006. Opportunities to help advance our mission by becoming a volunteer or supporter. They protected me. We welcome concerns, success stories and anything else youd like to share. OHSU clinics you may visit set their own charges, though. Bone-building exercises and taking calcium and vitamin D can help. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. It's OK to ask for help. Connect with us at one of our Portland-area locations. Review treatment options, and their benefits and risks. It may match their sex assigned at birth, or may be different. Kaiser Permanente is a nationally recognized leader in LGBTQ+ health care equality, providing a wide range of services including mental health, hormone treatment, and surgical procedures to help transgender and nonbinary individuals achieve their gender-affirming goals. Transgender Law Center 1629 Telegraph Ave., Ste. Simply stated, our society has not caught up with what it means to identify as a gender other than the one you were assigned at birth. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. Medical treatment usually doesnt begin until puberty. Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. We usually do not prescribe medications during the first visit. . Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Pubertal suppression doesnt necessarily lead to social transition or gender-affirming treatment. Whatever decisions you make about your health, we listen and provide support without judgment. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center Discuss your support network and access to mental health therapy. 2022 Cascade AIDS Project, Inc. All rights reserved. What to expect: We usually do not prescribe medications during the first visit. We do not believe all patients will benefit from the same services. http://bethannshort.com/gendersummit.html. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. Prism Health provides free and fast screening for HIV and other STIs through our dedicated walk-in clinic, Pivot, as well as a stigma free environment to address any of your sexual health concerns. Scottsdale, AZ 85253. External We consider timing, especially for teens seeking surgery before leaving for college. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. The Transgender Health Program THP for short provides support, information and advocacy. We do not make appointments or directly provide health care. It causes some of the changes a child goes through in puberty. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. These are usually replaced every one to two years if pubertal suppression continues. Learn more about your options. You've come to the right place. Because of him I am now a complete, functioning attractive woman. If a patient is already working with a therapist, we will talk with that therapist about treatment. Outside In offers a range of services dedicated to transgender and other gender diverse patients.
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