Theyre designed to help patients start the puberty that matches their gender identity. Care for teens and children: The providers at our Doernbecher Gender Clinic locations offer years of experience treating gender-diverse young people. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more 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. I have experience working with transgender and gender non-conforming children, teens, and adults. Like the definition of gender itself, I help you decide your own path, labels and lack of labels. We are happy to meet with you and your child before that, though. The group meets quarterly to advise the program about programs and services. Mabel Wadsworth Center offers a safe and affirming environment." Services include: Abortion Care Annual Wellness Exams Birth Control Cancer Screenings Colposcopy Infertility Consultation Intrauterine Insemination LGBTQ Healthcare Gender Affirming Hormone Therapy Men's Health Menopause Consultation Mental Health Counseling The Transgender Health Program THP for short provides support, information and advocacy. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. I have extensive experience working with adolescents and adults experiencing gender dysphoria. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. 2001-2022 Oregon Health & Science University. How can you contact us? Contact Dr. Meltzers office to book your consultation and youll hear back with more details. 400 Oakland, CA 94612 . Learn more. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. I couldnt have asked for a better experience with Dr. Meltzer and his staff. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. We also provide treatment into young adulthood for some patients, and we help them move into adult care. The Gender Clinic Suppressants may not be effective if an adolescent has gone through most stages of puberty. Not all non-binary people identify as transgender. 7025 N. Scottsdale Road #302. This is not to be confused with 4 treatments. We welcome concerns, success stories and anything else youd like to share. The Portland Clinic Blog Health Matters Categories: #COMMUNITY #FITNESS #FOOD&NUTRITION #MEETYOURDOC #NEWS #YOUR HEALTH #YOUR HEALTH If it tingles, it's carpal tunnel, right? Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. Adolescent medicine doctors who specialize in the needs of teens. Connect with us at one of our Portland-area locations. 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. Treat everyone like family. By the time I was 17, I didn't trust anybodyexcept Outside In. We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). Collaboration: We confer monthly with other transgender health programs. Patients need a referral, usually from their pediatrician, to be seen at one of our. There is no additional fee. This includes supportive therapy for children, adolescents, and adults who are in the early stages of exploring/questioning their gender identity, as well as assessment and letter-writing for clients pursuing hormones and/or surgery. Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. Throughout my training, I have focused on working to apply what I have learned to help people navigate gender. The team of compassionate doctors and medical practitioners specialize in . The Gender Clinic at Maine Medical/ The Barbara Bush Children's Hospital (207) 662-5093 (207) 662- 5528 fax . Bellevue . Sponsored by USD School of Law, Tom Homann LGBT Bar Association, and The Center. This helps us offer services that match your needs. Outside In is a Health Center Program grantee under 42 U.S.C. Background image: THP - Transgender Health Program volunteer Jess G. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaard, Help arranging health care services. Testosterone: Testosterone is usually injected into muscles or just under the skin. Its important that patients have enough time after surgery for healing and family support. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. I continue to provide affirmative care for the community and their families. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. 5702 North 19th Avenue, Phoenix Arizona, 85015. Fax: 207-662-5528. 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. Gender Language ; Monica Llado-Farrulla, M.D. People talking to me, listening to me. See our For Health Care Professionals page for details. To schedule a medical appointment, please call503.535.3860and select option 1. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. A mental health professional can help with these and other challenging aspects of gender dysphoria. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. Changing lives. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. 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. I hold a healing space where trans and nonbinary folx can enter into your healing work without having to explain yourself or make yourself smaller. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. I am passionate about delivering gender affirming care at all stages of exploration and/or transition. When a family member transitions, it can put a strain on family dynamics. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. TriMet Stop ID: 408SE Belmont & 23rd Eastbound. Psychological, medical or social problems that could disrupt treatment have been addressed. Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Health care professionals in the community can request training on providing affirming, welcoming care. He also accepts insurance. Outside In is an Equal Opportunity Employer. Gender expression is a passion of mine. Contact the OHSU Transgender Health Program at: Parking is free for patients and their visitors. I have been working with clients with Gender Dysphoria for a decade. We offer treatment to patients of all ages with both pediatric and adult services. Pubertal suppression doesnt necessarily lead to social transition or gender-affirming treatment. We will explore any necessary transition steps, including social and medical transition. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). This helps us offer services that match your needs. Our specialists meet every month to pool their expertise on complex cases. One of the possible reasons an email can be . Currently, there is limited information about the long-term effects in gender-diversepatients. Annual exams and screenings Fertility and family planning Pregnancy care Maternal-fetal medicine Guide you through the consent process, which can be complex. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. 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. LGBTQ HEALTHCARE SERVICES. UnitedHealth Group will adhere to all federal . If a patient is already working with a therapist, we will talk with that therapist about treatment. They also share findings through the Transgender Health Program Research Collaborative started by OHSU. Start your transition now. We will: We will monitor your child throughout treatment. Basic patient care needs will be met though both administrative and clinical duties. 2001-2022 Oregon Health & Science University. Outside In made me want to be around excellence. Below are some resources available within our Moda and Kaiser plans. Professionals: Health care professionals in the community can request training on providing affirming, welcoming care. Your partner in inclusive, affirming health care, Request for Transgender Health Services referral form, talk about transitioning as a new employee, Dedicated clinics for gender-diverse care, Half of transgender patients leave home state for surgery, study finds, Surgeon-scientist centers patients in research to improve transgender care, Transgender and gender-expressive communities can count on OHSUs support, Honoring International Transgender Day of Visibility, Why gender-affirming care for youth is important, OHSU earns top score in Human Rights Campaign Foundations 2022 Healthcare Equality Index, OHSU expands, improves transgender health services, Affirming health care is lifesaving for transgender youth. Many are also international experts who publish studies and who speak across the nation and overseas. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. I also worked on a project with 29 brave individuals honoring their journey in gender expression. See our For Health Care Professionals page for links to published studies by OHSU providers. As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community. Meet our Doctors More than 100 doctors provide comprehensive, specialized care for you and your family. As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming: Our compassionate providers are leaders in their fields who have developed best practice guidelines in transgender health that are used throughout Kaiser Permanente. I have extensive experience providing gender affirming care for transgender and gender diverse individuals. He served as an Assistant Professor of Plastic and Reconstructive Surgery at Oregon Health Sciences University (OHSU) from 1990 to 1996, before going into private practice. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. Hillsboro Medical Center Cardiology Clinic 7th Avenue Medical Plaza 333 SE 7th Ave., Suite 2500 Hillsboro, OR 97123 503-844-8280 . I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Were studying how testosterone is given to teen patients to find the best methods. Patient education: See our Education and Events page. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. Scottsdale, AZ 85253. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. for any health care need,such as primary care, mental health care and gender-affirming services. I enjoy working with genderqueer, non-binary, gender-fluid, and gender-nonconforming folks and provide letters to support gender-affirming related care access. For more information about gender: The Gender Clinic You do not need a referral for a primary care appointment. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! How they love us, care for us. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. About 75% of my clients come to me with the primary presenting difficultly of gender dysphoria. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. Let's work together to unpack the blocks to expressing yourself more fully. OHSU providers work together to make sure you get the care you need. She is also a member of . The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. 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. Learn more on our For Health Care Professionalspage. 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. This could be longer or shorter based on the client's hair growth density. Molly Palmer and her wife, Melissa,reflect on Mollys transition. Typically, we see patients every three to four months. who we . The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. My aim is to mitigate these barriers and pave the way for access to care. Possibly do a physical exam and blood test to assess the extent of puberty. We can also provide you with follow-up materials and walk you through the process of how to change your name or gender-marker on other documents once you receive a judgment from the court changing your name or gender marker. We work with each person to decide on the different services they may need. I have done many assessments for hormones and surgery and have worked collaboratively with medical professionals to ensure appropriate treatment of those struggling with gender dysphoria. On this page Gender Affirming Care with Kaiser Permanente Gender Affirming Care with Moda Health Culturally Specific Resources for Moda Members We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. The group meets quarterly to advise the program about programs and services. . Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. 602-246-1966. A transgender person may identify as male or female, or they may have a non-binary gender identity. Injections are only available with a minimum of one hour of electrolysis. I'm here to help. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. 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. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. That essentially puts the puberty system to sleep. Delaying puberty too long may carry risks such as harm to bone density. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. Medical treatment usually doesnt begin until puberty. The wonderful and fresh food, the health care, the accommodations, the hospitalities. 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. Whatever decisions you make about your health, we listen and provide support without judgment. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. Job Description. See our. Joe has trained and presented widely in the area of gender studies as well as having worked extensively with clients around issues related to gender transitions, including assessment and documentation for medical needs. Being transgender or non-binary presents a unique set of personal and social challenges. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. The Meltzer Clinic Providers - The Meltzer Clinic PC. If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. My experience includes academic training as well as my personal experience. I wanted independence and stability. When appropriate, we also offer virtual visits where you can . Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. This study was from a gender clinic in Dallas, Texas. OHSU is an equal opportunity affirmative action institution. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. Visit ourevents page and scroll down to "Calendar" to find a meeting. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. I have worked with people who identify as male, female, transgender, gender neutral, non-binary, agender, pangender, genderqueer and all, none or a combination of these. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. I also support parents looking for resources while they may have a child transitioning. Gender identity and gender exploration is the main focus of my work. Hormone therapy mimics the bodys production of estrogen or testosterone. Were working with the Pediatric Endocrine Society to develop more research and education about gender-affirming health. Clinic RN - Pediatric Surgery. The CLEAR Clinic can help you file a petition to legally change your name or gender marker in court in Oregon. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. I feel safe at Outside In. We can answer questions and discuss: We recommend that your child see a specialist in treating puberty-related conditions, such as: Some treatments affect fertility. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . They were always there for us anticipating our needs. Contact Us. Beware of drug interactions. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. Instead of questioning the obvious group-think dynamic the little girls were experiencing . Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. Read this first. 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. The following video was produced for the gala. AboutPrismHealthMedical ProvidersBehavioral Health ProvidersOur Leadership TeamCareersContact Us, PrimaryCareGender-AffirmingCareBehavioral Health & Substance Support PharmacySexual HealthPrEP, MPox InformationInsuranceNotice of Privacy PracticesPrivacy PolicyGood Faith EstimateSliding Scale DiscountPatient FormsLaboratory, 2022 Cascade AIDS Project, Inc. All rights reserved. Your feedback: We value input from patients, providers and community members. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. Some common signs of a gender dysphoria include cross-dressing, a feeling of being in the wrong body and a desire to live as a person of the opposite sex. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. A mere 13 months later, Ashe . Because of him I am now a complete, functioning attractive woman. We repect your privacy. Legacy Diabetes and Endocrine Clinic 501 N. Graham St., Suite 375 Portland, OR 97227 Map/Directions Hours: Monday-Friday, 8:30 a.m. to 4:30 p.m. Every person deserves to live a life in their most congruent gender. People with gender dysphoria are typically referred to as transsexual or transgender. New York ACLU - Changing Your Name and Gender; Please contact the TYP clinic to speak with our social worker if you have any questions or concerns about this process. Learn more about your options. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. The New England Gender C.A.R.E. We dont require patients to transition socially before starting hormone therapy. They have proved safe and effective in cisgender children. 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. Learn how to apply. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. (The call is private and personal to your questions and concerns.) 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. For New Patients. We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. Better turn it on! OHSU is an equal opportunity affirmative action institution. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. We have more than 30 areas of practice, including Urgent Care. I am trained in LGBTQIA+ related concerns, and have been educated by past experiences working as a trans counselor with gender diverse clients and supervisors. Uh oh. Outside In offers a range of services dedicated to transgender and other gender diverse patients. I am a queer, genderqueer person. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Outside In shaped me. OHSU is dedicated to inclusive care and to offering welcoming facilities. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. Search by U.S. State, Procedure and Insurance Search by Country and Procedure Browse the Global Surgeon Maps. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information See our. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. Sometimes gender identity is confused with gender expression. 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. I found Outside In. Our services for patients under 15 are limited for this reason. Office : 480-657-7006. Transgender Health Program Community Advisory Board: This group is made up of transgender and gender-nonbinary people who have received program services or who represent served communities. Hormone therapy doses how much and how often are typically different for teens than for adults. It's OK to ask for help.